Individual provider Active NPI

Carmelita Tiburcio Bigelow, CLINICAL SOCIAL WORK

  • Clinical Social Worker
  • Lumberton, NC
National Provider Identifier
1477080661
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4719 Fayetteville Rd
Lumberton, NC 28358-2113
Phone
(910) 739-0050
Fax
(910) 739-0077
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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 Primary

Addresses

Primary practice location

4719 Fayetteville Rd
Lumberton, NC 28358-2113

Mailing address

920 S Cliffs Cir Apt 303
Spring Lake, NC 28390-3492
Phone (910) 777-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180312001954 NC Practitioner - Clinical Social Worker 3971865874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Painting Miracles IncGroup PAC ID 3476991332, 2 clinicians

Practice addresses (Care Compare)

3400 Walsh Pkwy
Suite 115B
Fayetteville, NC 28311-1642
Phone (910) 339-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Painting Miracles Inc. Clinical CurrentSince Jan 1, 2024 Accepting new patients
Neighborhood Urgent Care PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

9764 Holly Springs Rd
Apex, NC 27539
Phone (919) 557-6667

1248 Fort Bragg Rd
Ste 200
Fayetteville, NC 28305
Phone (910) 486-6818

3400 Walsh Pkwy
Ste 115B
Fayetteville, NC 28311
Phone (910) 339-2121

Organizations & group practices 2

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1477080661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S CLIFFS CIR APT 303",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903492",
            "telephone_number": "910-777-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582113",
            "telephone_number": "910-739-0050",
            "fax_number": "910-739-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "CARMELITA",
        "middle_name": "TIBURCIO",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.