NPIMap

Albemarle Mental Health Center

Organization Active NPI Clinical Social Worker · Camden, NC

NPI 1629122437 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1629122437
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ALBEMARLE MENTAL HEALTH CENTER
Practice address
160-A Camden Medical Park
Camden, NC 27921
Phone
(252) 335-5158
NPI assigned
Jan 22, 2007
Organization subpart
No

Authorized official

Name
Charles Franklin Jr.
Title
Area Director
Phone
(252) 335-1113

Corporate family (same tax ID) 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

National Provider Directory

Tax ID family
Albemarle Mental Health Center (37 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X Yes

Addresses

Primary practice location

160-A Camden Medical Park
Camden, NC 27921

Mailing address

160-A Camden Medical Park
Camden, NC 27921

Other identifiers

IdentifierTypeStateIssuer
6005567MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629122437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160-A CAMDEN MEDICAL PARK",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "27921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160-A CAMDEN MEDICAL PARK",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "27921",
            "telephone_number": "252-335-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "252-335-1113",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NC

All providers in Camden, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.