Individual provider Active NPI

Hannah Strom, LCSWA

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1427608546
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013654 Issued in NU
Practice address
5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684
Phone
(919) 619-7307
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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 P013654 NU Primary

Addresses

Primary practice location

5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684

Mailing address

5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684
Phone (919) 619-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 16, 2024 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1427608546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 FAYETTEVILLE RD STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138684",
            "telephone_number": "919-619-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 FAYETTEVILLE RD STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138684",
            "telephone_number": "919-619-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "HANNAH",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "P013654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.