Individual provider Active NPI

Craig Marshall Hales, LCSW, LISW-CP, DCSW

  • Clinical Social Worker
  • Fort Liberty, NC
National Provider Identifier
1639403132
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008532 Issued in NC
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

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250904004009 FL Practitioner - Clinical Social Worker 6800187121 Reassigns benefits to 1 organization
I20250917000143 SC Practitioner - Clinical Social Worker 6800187121 Reassigns benefits to 1 organization
I20251008003307 NC Practitioner - Clinical Social Worker 6800187121 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SW13009FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 29, 2025 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

Verify at the official NPI Registry.