Individual provider Active NPI

Carolyn B Norris, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1659358133
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004346 Issued in NC
Practice address
2100 Fairfax Rd
Suite 119
Greensboro, NC 27407-3009
Phone
(336) 852-1711
Fax
(336) 852-9002
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C004346 NC
Clinical Social Worker 1041C0700X C004346 NC Primary

Addresses

Primary practice location

2100 Fairfax Rd
Suite 119
Greensboro, NC 27407-3009

Mailing address

3503 Henderson Rd
Greensboro, NC 27410-5413
Phone (336) 852-5237

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051208000383 NC Practitioner - Clinical Social Worker 1658392477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004346NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Psychiatric and Counseling Center PA Clinical CurrentSince Jun 1, 2010 Accepting new patients

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1659358133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 HENDERSON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105413",
            "telephone_number": "336-852-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FAIRFAX RD",
            "address_2": "SUITE 119",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073009",
            "telephone_number": "336-852-1711",
            "fax_number": "336-852-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C004346",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.