Individual provider Active NPI

Safiyyah Nafeesah Feaster, MSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1518288752
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008603 Issued in NC
Practice address
3625 N Elm St Ste 130
Greensboro, NC 27455-2604
Phone
(704) 360-3637
Fax
(980) 939-8769
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008603 NC Primary

Addresses

Primary practice location

3625 N Elm St Ste 130
Greensboro, NC 27455-2604

Mailing address

115 E Harden St Ste 103
Graham, NC 27253-3001
Phone (336) 792-1710

Other practice location 1

1822 E Nc Highway 54 Ste 300
Durham, NC 27713-3210
Phone (919) 474-6400

Other practice location 2

115 E Harden St Ste 103
Graham, NC 27253-3001
Phone (336) 792-1710 ext. 33679

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000771 NC Practitioner - Clinical Social Worker 8628364478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Clinical CurrentSince Sep 24, 2024 Accepting new patients
Kristin McArthur, MD, PLLC PastSince Feb 5, 2018 Accepting new patients

Locations

10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930

2530 Meridian Pkwy
Ste 115
Durham, NC 27713

3625 N Elm St
Ste 130
Greensboro, NC 27455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1518288752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E HARDEN ST STE 103",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533001",
            "telephone_number": "336-792-1710",
            "fax_number": "336-542-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "704-360-3637",
            "fax_number": "980-939-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 E Nc Highway 54 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277133210",
            "country_code": "US",
            "telephone_number": "919-474-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Harden St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "NC",
            "postal_code": "272533001",
            "country_code": "US",
            "telephone_number": "336-792-1710 x33679",
            "fax_number": "336-542-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "SAFIYYAH",
        "middle_name": "NAFEESAH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.