Individual provider Active NPI

Coreen Beth Lawoyin, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1679308381
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021254 Issued in NC
Practice address
6781 Camden Rd
Fayetteville, NC 28306-7223
Phone
(877) 358-2998
Fax
(423) 405-6346
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 P021254 NC Primary

Addresses

Primary practice location

6781 Camden Rd
Fayetteville, NC 28306-7223

Mailing address

1101 W 40TH St Unit 2225
Chattanooga, TN 37409-1379
Phone (778) 358-2998

Other practice location 1

462 Silver Maple Dr
Fuquay Varina, NC 27526-4545
Phone (919) 280-5284

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
P021254NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elu LLC Clinical CurrentSince Sep 23, 2024 Accepting new patients

Locations

600 Denim Dr
Erwin, NC 28339

6781 Camden Rd
Fayetteville, NC 28306

1828 Ralph Stephens Rd
Holly Springs, NC 27540

1101 W 40th St
Unit 2225
Chattanooga, TN 37409
Phone (423) 486-0774

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1679308381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST UNIT 2225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091379",
            "telephone_number": "778-358-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 CAMDEN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067223",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Silver Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275264545",
            "country_code": "US",
            "telephone_number": "919-280-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWOYIN",
        "first_name": "COREEN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.