Individual provider Active NPI

Anne Bass Kinlaw, LCSW

  • Clinical Social Worker
  • Monroe, NC
National Provider Identifier
1528289303
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006767 Issued in NC
Practice address
1801 Scuffle Hill Dr
Monroe, NC 28110-0004
Phone
(443) 235-5392
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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 C006767 NC Primary

Addresses

Primary practice location

1801 Scuffle Hill Dr
Monroe, NC 28110-0004

Mailing address

1801 Scuffle Hill Dr
Monroe, NC 28110-0004
Phone (443) 235-5392

Other practice location 1

109 High St
Salisbury, MD 21801-4276
Phone (410) 546-1692

Other names 1

  • Anne Marie Bass Former name

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
I20200114000287 NC Practitioner - Clinical Social Worker 4789674565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serendipity Therapy, PLLCGroup PAC ID 8022133164, 3 clinicians

Practice addresses (Care Compare)

1165 McKee Farm LN
Belmont, NC 28012-8671
Phone (704) 928-8266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Therapy, PLLC Clinical CurrentSince Dec 5, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1528289303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SCUFFLE HILL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281100004",
            "telephone_number": "443-235-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SCUFFLE HILL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281100004",
            "telephone_number": "443-235-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 High St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014276",
            "country_code": "US",
            "telephone_number": "410-546-1692",
            "fax_number": "410-548-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINLAW",
        "first_name": "ANNE",
        "middle_name": "BASS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BASS",
            "middle_name": "MARIE",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.