NPIMap

Organization Active NPI

Carolina Child and Family Services, Inc.

  • Clinical Social Worker
  • Mount Airy, NC
National Provider Identifier
1497840037
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAROLINA CHILD AND FAMILY SERVICES, INC.
Practice address
787 E Pine St
Mount Airy, NC 27030-3933
Phone
(336) 789-4408
Fax
(336) 786-4408
NPI assigned
Oct 3, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Julee K Phifer, LCSWNPI 1518051044
Title
Co-Owner
Phone
(336) 429-8232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

787 E Pine St
Mount Airy, NC 27030-3933

Mailing address

787 E Pine St
Mount Airy, NC 27030-3933
Phone (336) 789-4408

Other identifiers 1

IdentifierTypeStateIssuer
6005608MedicaidNC

National Provider Directory

National Provider Directory

Locations

787 E Pine St
Mount Airy, NC 27030
Phone (336) 789-4408

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1497840037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 E PINE ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303933",
            "telephone_number": "336-789-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 E PINE ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303933",
            "telephone_number": "336-789-4408",
            "fax_number": "336-786-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHILD AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "JULEE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-429-8232",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.