Forsyth County DSS

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FORSYTH COUNTY DSS

Practice address

741 Highland Ave
Winson Salem, NC 27101

Phone

(336) 703-3408

Fax

(336) 727-2850

NPI assigned

Dec 28, 2006

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat Read, MBA/MHS

Title

Business Officer

Phone

(336) 703-3408

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Forsyth County NC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• County of Forsyth, North Carolina

  dba Forsyth County Pharmacy

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
  • NPI 1144355116
  NPD tax ID
• County of Forsyth, North Carolina

  dba Forsyth County North Carolina

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
  • NPI 1154475424
  NPD tax ID
• Forsyth County

  dba Forsyth County Ambulance

  • Ambulance
  • Winston Salem, NC
  • NPI 1043250350
  NPD tax ID
• Forsyth County

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
  • NPI 1346626587
  NPD tax ID
• Forsyth County North Carolina

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
  • NPI 1396899498
  NPD tax ID
• Forsyth County Public Health Cleveland Ave Dental Center

  • Dentist
  • Winston Salem, NC
  • NPI 1053868869
  NPD tax ID

Locations

Practitioners 1

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.

• Erika Latrice Gabriel, LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1609607456

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1518023217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 HIGHLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-703-3408",
            "fax_number": "336-727-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 HIGHLAND AVE",
            "city": "WINSON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-703-3408",
            "fax_number": "336-727-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BUSINESS OFFICER",
        "authorized_official_telephone_number": "336-703-3408",
        "authorized_official_credential": "MBA/MHS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700044",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.