Organization Active NPI

Oak Street Health

  • Clinical Social Worker
  • Winston-Salem, NC
National Provider Identifier
1497495782
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OAK STREET HEALTH
Practice address
2668 Peters Creek Parkway
Winston-Salem, NC 27127
Phone
(336) 200-7020
Fax
(336) 450-1843
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Candice Pugh, LCSWNPI 1578209813
Title
Behavioral Health Specialist
Phone
(336) 200-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2668 Peters Creek Parkway
Winston-Salem, NC 27127

Mailing address

2668 Peters Creek Parkway
Winston-Salem, NC 27127
Phone (336) 200-7020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2182015Oak Street Health - Winston-Salem2668 Peters Creek Parkway, Winston-Salem, NC 27127Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

2668 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 200-7020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1497495782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 PETERS CREEK PARKWAY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "336-200-7020",
            "fax_number": "336-450-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 PETERS CREEK PARKWAY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "336-200-7020",
            "fax_number": "336-450-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "336-200-7020",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.