Individual provider Active NPI

Anna Leigh Black, LCSWA

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1679018337
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011597 Issued in NC
Practice address
18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444
Phone
(336) 579-2312
Fax
(336) 579-2365
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C011597 NC Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ablack871362@direct.novanthealth.org

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
I20210309000299 NC Practitioner - Clinical Social Worker 6800202318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

18 Oak Branch Dr
Suite C
Greensboro, NC 27407-2444
Phone (336) 579-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011597NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1679018337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK BRANCH DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072444",
            "telephone_number": "336-579-2312",
            "fax_number": "336-579-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ANNA",
        "middle_name": "LEIGH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011597",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ablack871362@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "18 Oak Branch Dr Ste C",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274072444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.