Individual provider Active NPI

Marcy Arnold, LCSW, LCAS

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1609296854
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009426 Issued in NC
Practice address
3537 M L King Jr Blvd # 215
New Bern, NC 28562-2209
Phone
(252) 505-8150
Fax
(252) 214-6278
NPI assigned
Apr 25, 2014
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21692 NC
Clinical Social Worker 1041C0700X C009426 NC Primary

Addresses

Primary practice location

3537 M L King Jr Blvd # 215
New Bern, NC 28562-2209

Mailing address

3537 M L King Jr Blvd # 215
New Bern, NC 28562-2209
Phone (252) 505-8150

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
I20160408001938 NC Practitioner - Clinical Social Worker 4587962402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewed Wellness Counseling, PLLCGroup PAC ID 8729490149, 4 clinicians

Practice addresses (Care Compare)

312 S Front St
Suite 7
New Bern, NC 28560-2134
Phone (252) 505-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21692NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ehome Behavioral Care Clinical CurrentSince Apr 8, 2020 Accepting new patients
Renewed Wellness Counseling, PLLC Clinical CurrentSince Mar 20, 2020 Accepting new patients
Carolina Choice LLC Past Accepting new patients
Carolina Choice, LLC Past Accepting new patients

Locations

7208 W Sand Lake Rd
Ste 305
Orlando, FL 32819
Phone (407) 358-7241

312 S Front St
Ste 7
New Bern, NC 28560
Phone (252) 505-8105

3537 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 505-8150

509 Broad St
Unit 1
New Bern, NC 28560

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1609296854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 M L KING JR BLVD # 215",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622209",
            "telephone_number": "252-505-8150",
            "fax_number": "252-214-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 M L KING JR BLVD # 215",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622209",
            "telephone_number": "252-505-8150",
            "fax_number": "252-214-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MARCY",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.