Individual provider Active NPI

Latieya Brianna Stanley, LCSWA

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1609345800
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012671 Issued in NC
Practice address
800 Cardinal Rd
New Bern, NC 28562
Phone
(252) 633-3855
Fax
(252) 633-1548
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 P012671 NC Primary

Addresses

Primary practice location

800 Cardinal Rd
New Bern, NC 28562

Mailing address

800 Cardinal Rd
New Bern, NC 28562-5204
Phone (252) 633-3855

Other practice location 1

13814 NC Hwy 55
Bayboro, NC 28515-9619
Phone (252) 745-7401

Other practice location 2

418 Nc Highway 58 N Unit D
Trenton, NC 28585-9619
Phone (252) 745-7401

Other practice location 3

800 Cardinal Rd
New Bern, NC 28562
Phone (252) 633-3855

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P012671NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie D Scott Clinical PastSince Aug 14, 2018 Accepting new patients

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1609345800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625204",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28562",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13814 NC Hwy 55",
            "address_purpose": "LOCATION",
            "city": "Bayboro",
            "state": "NC",
            "postal_code": "285159619",
            "country_code": "US",
            "telephone_number": "252-745-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 Nc Highway 58 N Unit D",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NC",
            "postal_code": "285859619",
            "country_code": "US",
            "telephone_number": "252-745-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Cardinal Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "28562",
            "country_code": "US",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LATIEYA",
        "middle_name": "BRIANNA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.