NPIMap

Organization Active NPI

Center for Behavioral Healthcare, PA

  • Clinical Social Worker
  • Asheboro, NC
National Provider Identifier
1437596210
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C00038 Issued in NC
Legal business name
CENTER FOR BEHAVIORAL HEALTHCARE, PA
Practice address
842 S Cox St
Asheboro, NC 27203-6470
Phone
(336) 625-0303
Fax
(336) 625-0301
NPI assigned
Jun 3, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Laurie M. Conaty, MSW, LCSW, LCASNPI 1710028709
Title
Clinical Director
Phone
(919) 776-0303

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 Worker 1041C0700X C00038 NC Primary

Addresses

Primary practice location

842 S Cox St
Asheboro, NC 27203-6470

Mailing address

138 S Steele St
Suite P
Sanford, NC 27330-4201
Phone (919) 776-0303

Other identifiers 2

IdentifierTypeStateIssuer
2860257COtherNCMEDICARE PTAN
3410094MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Center for Behavioral Healthcare PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

842 S Cox St
Asheboro, NC 27203
Phone (336) 625-0303

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1437596210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S STEELE ST",
            "address_2": "SUITE P",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304201",
            "telephone_number": "919-776-0303",
            "fax_number": "919-776-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036470",
            "telephone_number": "336-625-0303",
            "fax_number": "336-625-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "CONATY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-776-0303",
        "authorized_official_credential": "MSW, LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C00038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2860257C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.