Individual provider Active NPI

Erica Beth Bales, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1558742148
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009492 Issued in NC
Practice address
3125 Poplarwood CT Ste 300
Raleigh, NC 27604-6445
Phone
(919) 790-8580
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 C009492 NC Primary

Addresses

Primary practice location

3125 Poplarwood CT Ste 300
Raleigh, NC 27604-6445

Mailing address

3125 Poplarwood CT Ste 300
Raleigh, NC 27604-6445
Phone (919) 790-8580

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
I20180525001712 NC Practitioner - Clinical Social Worker 8224393095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

200 Godwin Ave
Suite C
Lumberton, NC 28358-3150
Phone (910) 674-4814

201 W Marion St
Suite 100
Shelby, NC 28150-5094
Phone (704) 476-4027

2505 Court Dr
Gastonia, NC 28054-2140
Phone (704) 842-6475

319 Chapanoke Rd
Raleigh, NC 27603-3433

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1522

4140 Cherry St
Winston Salem, NC 27105-2536
Phone (336) 306-9630

820 Grimes Blvd
Lexington, NC 27292-7640
Phone (336) 224-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009492NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince May 7, 2018 Accepting new patients
Monarch Current Accepting new patients
Monarch CurrentSince May 7, 2018 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

319 Chapanoke Rd
Ste 119
Raleigh, NC 27603

Organizations & group practices 3

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1558742148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-790-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-790-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "ERICA",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.