Active NPI
Gladys Adjei Takyi, MSW, LCSWA, LCAS
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1518680313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO17862
- Practice address
- 2565 Ravenhill Dr Ste 2C
Fayetteville, NC 28303-5414 - Phone
- (910) 864-1799
- Fax
- (910) 864-9016
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PO17862 | NC | Primary |
Addresses
Primary practice location
2565 Ravenhill Dr Ste 2C
Fayetteville, NC 28303-5414
Mailing address
805 Ronald Reagan Dr
Fayetteville, NC 28311-1678
Phone (910) 228-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO17862 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Transit Services | Current | Accepting new patients |
Locations
2565 Ravenhill Dr
Ste 2C
Fayetteville, NC 28303
Phone (910) 864-1799
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.
-
- Non-emergency Medical Transport (VAN)
- Fayetteville, NC
- NPI 1902645237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1518680313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 RONALD REAGAN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111678",
"telephone_number": "910-228-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 RAVENHILL DR STE 2C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035414",
"telephone_number": "910-864-1799",
"fax_number": "910-864-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKYI",
"first_name": "GLADYS",
"middle_name": "ADJEI",
"name_prefix": "Mrs.",
"credential": "MSW, LCSWA, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO17862",
"primary": true
}
],
"identifiers": [],
"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 Sep 26, 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.