Individual provider Active NPI

Jenny Elieen Tilford, L.C.S.W

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1598067852
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007040 Issued in NC
Practice address
200 N Greensboro St Ste C6
Carrboro, NC 27510-1849
Phone
(919) 962-5133
Fax
(919) 445-0414
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 C007040 NC Primary

Addresses

Primary practice location

200 N Greensboro St Ste C6
Carrboro, NC 27510-1849

Mailing address

5 Sparger Springs LN
Durham, NC 27705-1769
Phone (919) 491-2869

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
I20110406000521 NC Practitioner - Clinical Social Worker 0143404780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007040NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Annas Resources, P.C. Past Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

Organizations & group practices 4

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1598067852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SPARGER SPRINGS LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051769",
            "telephone_number": "919-491-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GREENSBORO ST STE C6",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101849",
            "telephone_number": "919-962-5133",
            "fax_number": "919-445-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILFORD",
        "first_name": "JENNY",
        "middle_name": "ELIEEN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.