Active NPI
Craig Marshall Hales, LCSW, LISW-CP, DCSW
- Clinical Social Worker
- Fort Liberty, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008532
- Practice address
- Johnson Hall Building
X3973 Urban Freedom Pass
Fort Liberty, NC 28314 - Phone
- (910) 908-5330
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13009 | FL | |
| Clinical Social Worker | 1041C0700X | 12162 | SC | |
| Military Health Care Provider | 171000000X | C008532 | NC | |
| Clinical Social Worker | 1041C0700X | C008532 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 6801091106 | MI |
Addresses
Primary practice location
Johnson Hall Building
X3973 Urban Freedom Pass
Fort Liberty, NC 28314
Mailing address
1209 Roberts St
Camden, SC 29020-3735
Phone (910) 330-9204
Other practice location 1
1209 Roberts St
Camden, SC 29020-3735
Phone (910) 330-9204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2196 3Rd Ave
New York, NY 10035-3501
66 E Flagler St
Miami, FL 33130-1807
66 W Flagler St
Suite 900
Miami, FL 33130-1812
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13009 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304
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": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1639403132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 ROBERTS ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203735",
"telephone_number": "910-330-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOHNSON HALL BUILDING",
"address_2": "X3973 URBAN FREEDOM PASS",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "28314",
"telephone_number": "910-908-5330"
}
],
"practiceLocations": [
{
"address_1": "1209 Roberts St",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "SC",
"postal_code": "290203735",
"country_code": "US",
"telephone_number": "910-330-9204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALES",
"first_name": "CRAIG",
"middle_name": "MARSHALL",
"name_prefix": "Mr.",
"credential": "LCSW, LISW-CP, DCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13009",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "12162",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NC",
"license": "C008532",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008532",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.