Individual provider Active NPI

Scottie Jeffery Vanhook, MSW

  • Clinical Social Worker
  • Lillington, NC
National Provider Identifier
1639307127
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002092 Issued in NC
Practice address
1995 US 421 N
Lillington, NC 27546-7436
Phone
(910) 257-1156
Fax
(910) 814-4245
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 C002092 NC Primary

Addresses

Primary practice location

1995 US 421 N
Lillington, NC 27546-7436

Mailing address

PO Box 655
Lillington, NC 27546-0655
Phone (910) 257-1156

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
C002092NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1639307127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460655",
            "telephone_number": "910-257-1156",
            "fax_number": "910-814-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 US 421 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467436",
            "telephone_number": "910-257-1156",
            "fax_number": "910-814-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOK",
        "first_name": "SCOTTIE",
        "middle_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.