Individual provider Active NPI

Terry Wayne Mohr, LCSW

  • Social Worker
  • Cary, NC
National Provider Identifier
1417487240
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C002198 Issued in NC
Practice address
1250 SE Maynard Rd Ste 204
Cary, NC 27511-6947
Phone
(919) 272-6220
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C002198 NC Primary

Addresses

Primary practice location

1250 SE Maynard Rd Ste 204
Cary, NC 27511-6947

Mailing address

220 Norton St
Oak Island, NC 28465-8241
Phone (910) 723-1470

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
C002198NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin McArthur, MD, PLLC CurrentSince Feb 5, 2018 Accepting new patients

Locations

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1417487240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NORTON ST",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284658241",
            "telephone_number": "910-723-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SE MAYNARD RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116947",
            "telephone_number": "919-272-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "TERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C002198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.