Active NPI
Latieya Brianna Stanley, LCSWA
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1609345800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P012671 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie D Scott | Clinical | Past | 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.