Individual provider Active NPI

Lynn Murray, LCSW

  • Clinical Social Worker
  • Archdale, NC
National Provider Identifier
1689911042
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002786 Issued in NC
Practice address
10547 N Main St Ste a
Archdale, NC 27263-2884
Phone
(336) 431-1888
NPI assigned
Jan 4, 2013
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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 C002786 NC Primary

Addresses

Primary practice location

10547 N Main St Ste a
Archdale, NC 27263-2884

Mailing address

10547 N Main St Ste a
Archdale, NC 27263-2884
Phone (336) 431-1888

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
I20130716000166 NC Practitioner - Clinical Social Worker 3476793431 Practice locations: Archdale, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11635 -D N Main St
Archdale, NC 27263-3271

11635 N Main St
Suite D
Archdale, NC 27263-3271
Phone (336) 431-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1689911042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 N MAIN ST STE A",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632884",
            "telephone_number": "336-431-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 N MAIN ST STE A",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632884",
            "telephone_number": "336-431-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archdale, NC

Sources for this page

Verify at the official NPI Registry.