Individual provider Active NPI

Carmen Johnson Hall, MSW, LCSW

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1679126759
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014415 Issued in NC
Practice address
231 Commerce St
Greenville, NC 27858-5029
Phone
(252) 321-8080
Fax
(252) 321-7999
NPI assigned
Jul 18, 2019
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 C014415 NC Primary

Addresses

Primary practice location

231 Commerce St
Greenville, NC 27858-5029

Mailing address

5420 Arnette Dr
Archdale, NC 27263

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
I20220901001746 NC Practitioner - Clinical Social Worker 9234513730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014415NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical CurrentSince Aug 23, 2022 Accepting new patients
Pride in North Carolina, LLC CurrentSince Aug 23, 2022 Accepting new patients
Carolina Outreach, LLC PastSince Jul 25, 2019 Accepting new patients

Locations

208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Organizations & group practices 3

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1679126759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 ARNETTE DR",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "27263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CARMEN",
        "middle_name": "JOHNSON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.