Individual provider Active NPI

Hayat Shawwa, LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1497231393
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013025 Issued in NC
Practice address
5232 Koster Hill PL
Cary, NC 27518-9270
Phone
(919) 518-6072
NPI assigned
Jul 13, 2018
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 C013025 NC Primary

Addresses

Primary practice location

5232 Koster Hill PL
Cary, NC 27518-9270

Mailing address

5232 Koster Hill PL
Cary, NC 27518-9270
Phone (919) 518-6072

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
I20230518001579 NC Practitioner - Clinical Social Worker 6608232566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2406 Blue Ridge Rd
Suite 250
Raleigh, NC 27607-6695
Phone (919) 954-4160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc CurrentSince Jul 5, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jul 5, 2023 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 250
Raleigh, NC 27607
Phone (919) 787-2542

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1497231393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 KOSTER HILL PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189270",
            "telephone_number": "919-518-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 KOSTER HILL PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189270",
            "telephone_number": "919-518-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWWA",
        "first_name": "HAYAT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.