NPIMap

Organization Active NPI

Brigita Sunshyne Baumgardner LCSW PA

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1649514605
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007011 Issued in NC
Legal business name
BRIGITA SUNSHYNE BAUMGARDNER LCSW PA
Practice address
200 Valencia Dr
Suite 101
Jacksonville, NC 28546-6311
Phone
(203) 505-1293
Fax
(910) 355-2871
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Brigita Sunshyne Baumgardner, LCSWNPI 1114258076
Title
President
Phone
(203) 505-1293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C007011 NC Primary

Addresses

Primary practice location

200 Valencia Dr
Suite 101
Jacksonville, NC 28546-6311

Mailing address

200 Valencia Dr
Suite 101
Jacksonville, NC 28546-6311
Phone (203) 505-1293

National Provider Directory

National Provider Directory

Locations

200 Valencia Dr
Ste 101
Jacksonville, NC 28546
Phone (203) 505-1293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1649514605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "203-505-1293",
            "fax_number": "910-355-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "203-505-1293",
            "fax_number": "910-355-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGITA SUNSHYNE BAUMGARDNER LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "BRIGITA",
        "authorized_official_middle_name": "SUNSHYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-505-1293",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.