Active NPI
Deshawn Rondale Painter, MSW
- Social Worker
- Durham, NC
National Provider Identifier
1649940461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P016761
- Practice address
- 2003 E NC Highway 54 Ste C
Durham, NC 27713-2482 - Phone
- (919) 682-5300
- Fax
- (919) 682-5322
- NPI assigned
- Sep 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | P016761 | NC | |
| Social Worker | 104100000X | P016761 | NC | Primary |
Addresses
Primary practice location
2003 E NC Highway 54 Ste C
Durham, NC 27713-2482
Mailing address
2003 E NC Highway 54 Ste C
Durham, NC 27713-2483
Phone (919) 682-5300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | http://upwardchangeservice.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016761 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach to Inspire | Community/Behavioral Health | Current | Accepting new patients |
| Upward Change Health Services | Community/Behavioral Health | Past | Accepting new patients |
| Upward Change Health Services, LLC | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Morrisville, NC
- NPI 1255193462
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1912449158
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1306083688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1649940461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 E NC HIGHWAY 54 STE C",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132483",
"telephone_number": "919-682-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 E NC HIGHWAY 54 STE C",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132482",
"telephone_number": "919-682-5300",
"fax_number": "919-682-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "DESHAWN",
"middle_name": "RONDALE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "P016761",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P016761",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "http://upwardchangeservice.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2003 E Nc Highway 54 Ste C",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277132482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.