Individual provider Active NPI

Anjanette Tschupp, L.C.S.W

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1629279849
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013811 Issued in NC
Practice address
204 Muirs Chapel Rd Ste 100
Greensboro, NC 27410-6174
Phone
(336) 988-9842
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23944 CA
Clinical Social Worker 1041C0700X C013811 NC Primary

Addresses

Primary practice location

204 Muirs Chapel Rd Ste 100
Greensboro, NC 27410-6174

Mailing address

204 Muirs Chapel Rd Ste 100
Greensboro, NC 27410-6174
Phone (336) 988-9842

Other identifiers 2

IdentifierTypeStateIssuer
23944OtherCALICENSED CLINICAL SW
C013811OtherNCNC BOARD OF SOCIAL WORK

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
I20210618000258 NC Practitioner - Clinical Social Worker 9234539883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

204 Muirs Chapel Rd
Suite 100
Greensboro, NC 27410-6173

204 Muirs Chapel Rd
Suite 100
Greensboro, NC 27410-6174
Phone (336) 988-9842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23944CAMDClinical Social Worker
C013811NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Paths Clinical CurrentSince May 25, 2025 Accepting new patients

Locations

204 Muirs Chapel Rd
Ste 100
Greensboro, NC 27410
Phone (336) 701-2537

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1629279849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106174",
            "telephone_number": "336-988-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106174",
            "telephone_number": "336-988-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHUPP",
        "first_name": "ANJANETTE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23944",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "23944",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF SOCIAL WORK",
            "identifier": "C013811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.