Individual provider Active NPI

Diane Louise Minge, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1427033240
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001865 Issued in NC
Practice address
800 Eastowne Dr
Suite 201
Chapel Hill, NC 27514-2299
Phone
(919) 493-6329
Fax
(919) 493-9358
NPI assigned
Dec 14, 2005
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001865 NC Primary

Addresses

Primary practice location

800 Eastowne Dr
Suite 201
Chapel Hill, NC 27514-2299

Mailing address

254 Fearrington Post
Pittsboro, NC 27312-8556
Phone (919) 542-5620

Other identifiers 1

IdentifierTypeStateIssuer
59510OtherNCBCBSNC PROVIDER NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C001865NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1427033240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FEARRINGTON POST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128556",
            "telephone_number": "919-542-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EASTOWNE DR",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142299",
            "telephone_number": "919-493-6329",
            "fax_number": "919-493-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGE",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER NUMBER",
            "identifier": "59510",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.