Individual provider Active NPI

Stephanie Sherrelle Felder, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1669788196
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006902 Issued in NC
Practice address
2801 Bainbridge Dr Apt K
Durham, NC 27713-1435
Phone
(843) 687-2633
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

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 C006902 NC Primary

Addresses

Primary practice location

2801 Bainbridge Dr Apt K
Durham, NC 27713-1435

Mailing address

2801 Bainbridge Dr Apt K
Durham, NC 27713-1435
Phone (843) 687-2633

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
C006902NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1669788196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BAINBRIDGE DR APT K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131435",
            "telephone_number": "843-687-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BAINBRIDGE DR APT K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131435",
            "telephone_number": "843-687-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "STEPHANIE",
        "middle_name": "SHERRELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 21, 2010; 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.