Destini Edens

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013618 Issued in NC

Practice address

1860 Armory Rd
Parkton, NC 28371

Phone

(615) 717-7115

NPI assigned

May 16, 2016

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Destini Triplett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1649627068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 ARMORY RD",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283718436",
            "telephone_number": "615-717-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ARMORY RD",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "28371",
            "telephone_number": "615-717-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Armory Rd",
            "address_purpose": "LOCATION",
            "city": "Parkton",
            "state": "NC",
            "postal_code": "28371",
            "country_code": "US",
            "telephone_number": "615-717-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Polk Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372104629",
            "country_code": "US",
            "telephone_number": "615-717-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDENS",
        "first_name": "DESTINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P013618",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINI",
            "last_name": "TRIPLETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corpus Christi Services, Inc.
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• Darrelle E Green (Green Manor Rest Home)
• Brittany Lynn Davis, CHHC, CHN
• Agnes Marie Dinwiddie
• Hiede Jean Erickson, LCSW
• Dawn Fields, LPCA
• Jennifer E. Fruehling
• Green Manor Rest Home, Inc.
• Guided Path Homecare LLC

• Clinical Social Worker in Parkton, NC
• Providers in Parkton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.