Individual provider Active NPI

Laura Rippeon, LSCW-C, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1578864237
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14185 Issued in MD
Practice address
767 S Kerr Ave
Wilmington, NC 28403
Phone
(910) 312-3914
Fax
(844) 235-9088
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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 14185 MD Primary

Addresses

Primary practice location

767 S Kerr Ave
Wilmington, NC 28403

Mailing address

8209 Market St Ste a
Apt 296
Wilmington, NC 28411-9632
Phone (910) 312-3914

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14185MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Waters Counseling PLLC Clinical CurrentSince Dec 13, 2022 Accepting new patients

Locations

767 S Kerr Ave
Wilmington, NC 28403
Phone (910) 312-3914

8209 Market St
Ste A
Wilmington, NC 28411

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1578864237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 MARKET ST STE A",
            "address_2": "APT 296",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119632",
            "telephone_number": "910-312-3914",
            "fax_number": "844-235-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 S KERR AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-312-3914",
            "fax_number": "844-235-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPEON",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LSCW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.