Active NPI
Verna Mae Dority, LCSW
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002019
- Practice address
- 1310 Raeford Rd
Suite 2
Fayetteville, NC 28305-5085 - Phone
- (910) 850-0367
- Fax
- (910) 485-6572
- NPI assigned
- Oct 28, 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 | C002019 | NC | Primary |
Addresses
Primary practice location
1310 Raeford Rd
Suite 2
Fayetteville, NC 28305-5085
Mailing address
PO Box 9909
Fayetteville, NC 28311-9094
Phone (910) 850-0367
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28942 | Other | NC | BLUE CROSS BLUE SHIELD |
| 6002240 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Plantation Dr
Suite 100B
Cameron, NC 28326-9430
Phone (919) 895-3222
9909 PO Box
Fayetteville, NC 28311-9094
PO Box
Suite 9909
Fayetteville, NC 28311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002019 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
Locations
35 Plantation Dr
Ste 100B
Cameron, NC 28326
Phone (910) 302-6672
1310 Raeford Rd
Ste 2
Fayetteville, NC 28305
Phone (910) 850-0367
602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185
Interoperability endpoints
- verna.dority@direct.carolinacounselingservices.nchie.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1508942970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9909",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119094",
"telephone_number": "910-850-0367",
"fax_number": "910-485-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 RAEFORD RD",
"address_2": "SUITE 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055085",
"telephone_number": "910-850-0367",
"fax_number": "910-485-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORITY",
"first_name": "VERNA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "28942",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002240",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.