Individual provider Active NPI

Michele A Girard, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1609265099
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010617 Issued in NC
Practice address
2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone
(910) 663-1459
Fax
(910) 920-9644
NPI assigned
Jan 22, 2015
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089429-1 NY
Clinical Social Worker 1041C0700X SW13887 FL
Clinical Social Worker 1041C0700X C010617 NC Primary

Addresses

Primary practice location

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750

Mailing address

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone (347) 357-1009

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
I20170327001994 NC Practitioner - Clinical Social Worker 4688959059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2521 Raeford Rd
Suite D
Fayetteville, NC 28305-5750
Phone (910) 663-1459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089429-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Health Network, LLC CurrentSince Aug 20, 2018 Accepting new patients
Kristin McArthur, MD, PLLC CurrentSince Feb 5, 2018 Accepting new patients
Sunshine Interventions PLLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

3500 Westgate Dr
Ste 504
Durham, NC 27707
Phone (910) 212-4441

3622 Morganton Rd
#B
Fayetteville, NC 28303
Phone (910) 212-4441

102 W Main St
Ste A
Whiteville, NC 28472
Phone (910) 642-7463

209 W Virgil St
Whiteville, NC 28472
Phone (910) 640-2430

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, 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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1609265099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "347-357-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "910-663-1459",
            "fax_number": "910-920-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089429-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.