Active NPI
Oak Street Health
- Clinical Social Worker
- Winston-Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice Pugh, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2182015 | Oak Street Health - Winston-Salem | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Thomasville, NC
- NPI 1578209813
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.