Active NPI
Catherine Et Spain, LCSW
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1487764320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003105
- Practice address
- 800 Cardinal Rd
New Bern, NC 28562-5204 - Phone
- (252) 638-7900
- Fax
- (252) 638-3742
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003105 | NC | Primary |
Addresses
Primary practice location
800 Cardinal Rd
New Bern, NC 28562-5204
Mailing address
2245 Stantonsburg Rd
Suite P
Greenville, NC 27834-2868
Phone (252) 752-0483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003105 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487764320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "SUITE P",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0483",
"fax_number": "252-752-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARDINAL RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625204",
"telephone_number": "252-638-7900",
"fax_number": "252-638-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "CATHERINE",
"middle_name": "ET",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- Source of Clarity Therapeutic Interventions, PLLC
- Southern Living for Seniors of New Bern NC LLC
- Southern Oaks Dental
- Southmountain Children and Family Services
- Cortney Claressia Sowers, MSW, LCSWA
- Rebecca Sparacio, BCBA
- Shannon Shumate Sparks, PA-C
- Tracie Ann Sparks, MPT
- Speech Bridge, PLLC
- Kenisha Denisha Speller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.