Individual provider Active NPI

Brittany Thompson, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1689912578
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009323 Issued in NC
Practice address
2670 Durham Chapel Hill Blvd # B-130
Durham, NC 27707-2829
Phone
(919) 701-2969
NPI assigned
Jan 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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 C009323 NC Primary

Addresses

Primary practice location

2670 Durham Chapel Hill Blvd # B-130
Durham, NC 27707-2829

Mailing address

2670 Durham Chapel Hill Blvd Ste B-130
Durham, NC 27707-2829
Phone (919) 701-2969

Other names 1

  • Brittany Hollingsworth Former name

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
I20150303000460 NC Practitioner - Clinical Social Worker 2961728399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3326 Durham Chapel Hill Blvd
Suite 130B
Durham, NC 27707-6244
Phone (919) 701-2969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009323NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC Clinical CurrentSince Jan 15, 2015 Accepting new patients
Carolina Outreach, LLC Clinical Current Accepting new patients

Locations

2670 Durham Chapel Hill Blvd
#B130
Durham, NC 27707
Phone (919) 701-2969

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

2670 Durham Chapel Hill Blvd
Ste B130
Durham, NC 27707

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1689912578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD STE B-130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829",
            "telephone_number": "919-701-2969",
            "fax_number": "919-251-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD # B-130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829",
            "telephone_number": "919-701-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HOLLINGSWORTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.