Individual provider Active NPI

Janay Monique Price, LCSW

  • Clinical Social Worker
  • Whiteville, NC
National Provider Identifier
1447526306
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008891 Issued in NC
Practice address
630 S Madison St
Whiteville, NC 28472-4130
Phone
(910) 574-1191
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008891 NC Primary
Clinical Social Worker 1041C0700X 11579 SC

Addresses

Primary practice location

630 S Madison St
Whiteville, NC 28472-4130

Mailing address

630 S Madison St
Whiteville, NC 28472-4130
Phone (910) 574-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150317002199 NC Practitioner - Clinical Social Worker 2567789266 Reassigns benefits to 1 organization
Practice locations: Spring Lake, NC
I20161122001931 SC Practitioner - Clinical Social Worker 2567789266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2404 Lillington Hwy
Spring Lake, NC 28390-1846
Phone (803) 821-8333

522 Blue Garden Way
Columbia, SC 29223-8053
Phone (803) 821-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11579SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling Clinical CurrentSince Aug 6, 2016 Accepting new patients
Premier Counseling Current Accepting new patients
Pace Health Network, LLC PastSince Aug 20, 2018 Accepting new patients

Locations

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

Organizations & group practices 3

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1447526306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724130",
            "telephone_number": "910-574-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724130",
            "telephone_number": "910-574-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JANAY",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008891",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.