Individual provider Active NPI

Virgil J Foster, LCSW

  • Clinical Social Worker
  • Davidson, NC
National Provider Identifier
1558617258
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009054 Issued in NC
Practice address
903 Northeast Dr
Suite 102
Davidson, NC 28036-7416
Phone
(704) 641-1172
NPI assigned
Jul 31, 2012
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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 C009054 NC Primary

Addresses

Primary practice location

903 Northeast Dr
Suite 102
Davidson, NC 28036-7416

Mailing address

300 Hobbs St
Davidson, NC 28036-6919
Phone (704) 641-1172

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
I20160127000624 NC Practitioner - Clinical Social Worker 7113220088 Reassigns benefits to 1 organization
Practice locations: Davidson, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Harbor Counseling and Wellness, PLLCGroup PAC ID 0244688109, 5 clinicians

Practice addresses (Care Compare)

116 Morlake Dr
Suite 202
Mooresville, NC 28117-9211
Phone (704) 954-8347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009054NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Harbor Counseling and Wellness, PLLC Clinical CurrentSince Mar 20, 2024 Accepting new patients

Locations

116 Morlake Dr
Ste 202
Mooresville, NC 28117
Phone (704) 303-1303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1558617258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOBBS ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366919",
            "telephone_number": "704-641-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NORTHEAST DR",
            "address_2": "SUITE 102",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367416",
            "telephone_number": "704-641-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "VIRGIL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.