Active NPI
Kristin Baysek Vernon, MSW, LCSW
- Clinical Social Worker
- Sanford, NC
National Provider Identifier
1679834485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P005280
- Practice address
- 138 S Steele St
2ND Floor
Sanford, NC 27330-4201 - Phone
- (919) 776-0303
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P005280 | NC | Primary |
Addresses
Primary practice location
138 S Steele St
2ND Floor
Sanford, NC 27330-4201
Mailing address
138 S Steele St
2ND Floor
Sanford, NC 27330-4201
Phone (919) 776-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P005280 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
Locations
6321 Raeford Rd
Fayetteville, NC 28304
Phone (910) 644-0051
602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185
110 Applecross Rd
Ste A2
Pinehurst, NC 28374
Phone (910) 420-3600
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.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1679834485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 S STEELE ST",
"address_2": "2ND FLOOR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304201",
"telephone_number": "919-776-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 S STEELE ST",
"address_2": "2ND FLOOR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304201",
"telephone_number": "919-776-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "KRISTIN",
"middle_name": "BAYSEK",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P005280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.