Individual provider Active NPI

Quinetta Cheryl Barnes, LCSWA

  • Clinical Social Worker
  • Elizabeth City, NC
National Provider Identifier
1659145324
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017915 Issued in NC
Practice address
1825 W City Dr Ste G
Elizabeth City, NC 27909-9676
Phone
(252) 656-5799
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017915 NC Primary

Addresses

Primary practice location

1825 W City Dr Ste G
Elizabeth City, NC 27909-9676

Mailing address

1825 W City Dr Ste G
Elizabeth City, NC 27909-9676
Phone (252) 656-5799

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

LicenseStateTypeSpecialty
P017915NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling & Coaching, PLLC Clinical CurrentSince Nov 19, 2023 Accepting new patients

Locations

1825 W City Dr
Ste G
Elizabeth City, NC 27909
Phone (252) 656-5799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1659145324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W CITY DR STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099676",
            "telephone_number": "252-656-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W CITY DR STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099676",
            "telephone_number": "252-656-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "QUINETTA",
        "middle_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.