Individual provider Active NPI

Signe Offenberg

  • Clinical Social Worker
  • Roxboro, NC
National Provider Identifier
1609954213
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005369 Issued in NC
Practice address
355 C South Madison Blvd
Roxboro, NC 27573
Phone
(336) 599-8366
NPI assigned
Nov 1, 2006
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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 C005369 NC Primary

Addresses

Primary practice location

355 C South Madison Blvd
Roxboro, NC 27573

Mailing address

104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803

Other identifiers 4

IdentifierTypeStateIssuer
6106548MedicaidNC
14341OtherNCBCBS
388789OtherNCTRICARE
6106548OtherNCNC HEALTHCHOICE

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
I20070507000244 NC Practitioner - Clinical Social Worker 9234235300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Europa Dr
Suite 450
Chapel Hill, NC 27517-2394
Phone (919) 636-5240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005369NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Care, PA Current Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince May 16, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Clinical CurrentSince May 16, 2024 Accepting new patients
Freedom House Recovery Center, Inc. Past Accepting new patients
Freedom House Recovery Center, Inc. Past Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

100 Europa Dr
Ste 450
Chapel Hill, NC 27517

4102 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 972-7700

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1609954213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161165",
            "telephone_number": "919-942-2803",
            "fax_number": "919-942-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 C SOUTH MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "27573",
            "telephone_number": "336-599-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFENBERG",
        "first_name": "SIGNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106548",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14341",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "388789",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTHCHOICE",
            "identifier": "6106548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.