Individual provider Active NPI

Laura Douglas Musselwhite, MSW, LCSW, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1538477138
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1612 Issued in NC
Practice address
411 Andrews Rd
Suite 130
Durham, NC 27705-2993
Phone
(919) 682-5777
Fax
(919) 687-6975
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004168 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 1612 NC Primary

Addresses

Primary practice location

411 Andrews Rd
Suite 130
Durham, NC 27705-2993

Mailing address

411 Andrews Rd
Suite 130
Durham, NC 27705-2993
Phone (919) 682-5777

Other practice location 1

2250 Shipyard Blvd Ste 6
Wilmington, NC 28403-8070
Phone (886) 402-7631

Other identifiers 1

IdentifierTypeStateIssuer
6002461MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Community Support Services, Inc. Past Accepting new patients
Carolina Community Support Services, Inc. Past Accepting new patients

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1538477138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ANDREWS RD",
            "address_2": "SUITE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052993",
            "telephone_number": "919-682-5777",
            "fax_number": "919-687-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ANDREWS RD",
            "address_2": "SUITE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052993",
            "telephone_number": "919-682-5777",
            "fax_number": "919-687-6975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Shipyard Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284038070",
            "country_code": "US",
            "telephone_number": "886-402-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSELWHITE",
        "first_name": "LAURA",
        "middle_name": "DOUGLAS",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004168",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002461",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.