Nicole Sutton Behavioral Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NICOLE SUTTON BEHAVIORAL THERAPY

Practice address

750C NW Broad St
Southern Pines, NC 28387-4102

Phone

(910) 585-6091

Fax

(910) 246-1681

NPI assigned

Apr 2, 2021

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie N Sutton, LCSW, LCASNPI 1316232101

Title

Therapist

Phone

(910) 783-5636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Natalie Nicole Sutton, LCSW, LCAS

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1316232101
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1457939076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WHIPPOORWILL LN",
            "city": "PINEBLUFF",
            "state": "NC",
            "postal_code": "283735502",
            "telephone_number": "910-783-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750C NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "910-585-6091",
            "fax_number": "910-246-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SUTTON BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "910-783-5636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316232101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Myroslava Niameshchuk
• Kimberly Marie Niemeyer
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #17903)
• Nourished Roots Therapy Services
• Ashlynn Odom
• Oettinger and Associates, PLLC

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.