Individual provider Active NPI

Courtney Si'Erra Hall, MSW, LCSWA, CD(DONA)

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1407586324
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015934 Issued in NC
Practice address
331 Martin Luther King Jr Dr Unit B
Greensboro, NC 27406-1620
Phone
(336) 638-1907
NPI assigned
Jun 14, 2022
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P015934 NC Primary
School Social Worker 1041S0200X 1115425 NC
Doula 374J00000X 12859 NC

Addresses

Primary practice location

331 Martin Luther King Jr Dr Unit B
Greensboro, NC 27406-1620

Mailing address

1907 Buckminster Dr
Whitsett, NC 27377-9335
Phone (336) 255-6858

Other practice location 1

3719 Benson Dr
Raleigh, NC 27609-7324
Phone (919) 355-9145

Other practice location 2

1907 Buckminster Dr
Whitsett, NC 27377-9335
Phone (336) 255-6858

Other names 1

  • Mrs. Courtney Si'Erra Hall Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015934NCMDClinical Social Worker
1115425NCMDSchool Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1407586324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BUCKMINSTER DR",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779335",
            "telephone_number": "336-255-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MARTIN LUTHER KING JR DR UNIT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061620",
            "telephone_number": "336-638-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 Benson Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097324",
            "country_code": "US",
            "telephone_number": "919-355-9145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Buckminster Dr",
            "address_purpose": "LOCATION",
            "city": "Whitsett",
            "state": "NC",
            "postal_code": "273779335",
            "country_code": "US",
            "telephone_number": "336-255-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "middle_name": "SI'ERRA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSWA, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015934",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "1115425",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NC",
            "license": "12859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HALL",
            "middle_name": "SI'ERRA",
            "prefix": "MRS.",
            "credential": "MSW, LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.