Courtney Pope Blake, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

523 Rockingham Rd
Rockingham, NC 28379

Phone

(910) 562-9882

NPI assigned

Jun 13, 2017

Last updated

Feb 20, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Social Worker

Education

North Carolina Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sandhills Behavioral Care, PLLCGroup PAC ID 5193080166, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandhills Behavioral Care, PLLC

  dba Sandhills Best Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockingham, NC
  • NPI 1437653359
  Medicare reassignment Care Compare group NPD
• Cape Fear Behavioral Health Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1790062057
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1649700584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 DIXIE TRL",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283459307",
            "telephone_number": "910-331-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-562-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6885 Cliffdale Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142834",
            "country_code": "US",
            "telephone_number": "910-339-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "COURTNEY",
        "middle_name": "POPE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurin Nicole Barrington, PHARMD
• Nikki M. Bass, BSW
• Jaclyn Bates
• Tawanda L Bennett, LCAS-A
• Rhonda Carol Benton, LCMHCA
• Charlotte Boone, LCSWA
• Bostic Counseling & Consulting
• Brandi Bostic, LCAS-A
• Breanna Lee Bostick
• Dawn Gilmore Brannon, D.D.S.

• Clinical Social Worker in Rockingham, NC
• Providers in Rockingham, 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 Feb 20, 2019; 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.

Verify at the official NPI Registry.