Individual provider Active NPI

Priscillah T Makuchete Chigodo, MSW, LCSW-A

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1619463031
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012317 Issued in NC
Practice address
410 N Greensboro St
Carrboro, NC 27510-1845
Phone
(919) 960-3775
Fax
(919) 960-3799
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 P012317 NC Primary

Addresses

Primary practice location

410 N Greensboro St
Carrboro, NC 27510-1845

Mailing address

410 N Greensboro St
Carrboro, NC 27510-1845
Phone (919) 966-9803

Other practice location 1

209 Conner Dr Apt 17
Chapel Hill, NC 27514-7023
Phone (919) 960-3775

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
P012317NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1619463031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101845",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101845",
            "telephone_number": "919-960-3775",
            "fax_number": "919-960-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Conner Dr Apt 17",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275147023",
            "country_code": "US",
            "telephone_number": "919-960-3775",
            "fax_number": "919-960-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKUCHETE CHIGODO",
        "first_name": "PRISCILLAH",
        "middle_name": "T",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.