Individual provider Active NPI

Vanessa Upshire-Tribble

  • Clinical Social Worker
  • Burlington, NC
National Provider Identifier
1669914735
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014709 Issued in NC
Practice address
2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone
(336) 229-5905
Fax
(336) 229-5906
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-26422 NC
Clinical Social Worker 1041C0700X P010989 NC
Clinical Social Worker 1041C0700X C014709 NC Primary

Addresses

Primary practice location

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111

Mailing address

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 229-5905

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
I20220225001699 NC Practitioner - Clinical Social Worker 4981098456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Behavioral Health NC LLCGroup PAC ID 4688948656, 20 clinicians

Practice addresses (Care Compare)

963 Kirkpatrick Rd
Burlington, NC 27215-8911
Phone (336) 229-5905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-26422NCMDAddiction (Substance Use Disorder) Counselor
P010989NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Feb 7, 2022 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Feb 7, 2022 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

2732 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 227-5050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1669914735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155111",
            "telephone_number": "336-229-5905",
            "fax_number": "336-229-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155111",
            "telephone_number": "336-229-5905",
            "fax_number": "336-229-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHIRE-TRIBBLE",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010989",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.