Organization Active NPI

Coastal Inspirations PLLC

  • Clinical Social Worker
  • Belville, NC
National Provider Identifier
1417448010
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COASTAL INSPIRATIONS PLLC
Practice address
151 Poole Rd Ste 505
Belville, NC 28451-9508
Phone
(914) 240-2220
Fax
(914) 344-5746
NPI assigned
May 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Elizabeth M Nabors, LCSWNPI 1942503586
Title
Executive Director
Phone
(910) 240-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

151 Poole Rd Ste 505
Belville, NC 28451-9508

Mailing address

3520 Gladehill LN
Leland, NC 28451-6511
Phone (910) 240-2220

Other identifiers 3

IdentifierTypeStateIssuer
C9633OtherMSLICENSURE
C009445OtherNCLICENSURE
082236OtherNYLICENSURE

Other names 1

  • Coastal Inspirations LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015000822 NC Part B Supplier - Clinic/Group Practice 0244582575 Receives reassigned benefits from 1 practitioner
Practice locations: Belville, NC

National Provider Directory

National Provider Directory

Locations

497 Olde Waterford Way
Ste 202
Belville, NC 28451

497 Olde Waterford Way
Ste 202110
Belville, NC 28451
Phone (910) 240-2220

151 Poole Rd
Ste 505
Belville, NC 28451
Phone (910) 240-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1417448010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GLADEHILL LN",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516511",
            "telephone_number": "910-240-2220",
            "fax_number": "914-344-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 POOLE RD STE 505",
            "city": "BELVILLE",
            "state": "NC",
            "postal_code": "284519508",
            "telephone_number": "914-240-2220",
            "fax_number": "914-344-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INSPIRATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-20",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-240-2220",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "C9633",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "C009445",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "082236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Inspirations LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Coastal Inspirations LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Belville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.