Individual provider Active NPI

Heather Armentrout, LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1700278124
Registry record updated Feb 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P0009122 Issued in NC
Practice address
7990 N Point Blvd Ste 204
Winston Salem, NC 27106-3169
Phone
(336) 896-1323
NPI assigned
Feb 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2015

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 P0009122 NC Primary

Addresses

Primary practice location

7990 N Point Blvd Ste 204
Winston Salem, NC 27106-3169

Mailing address

1933 Hickory Point Dr
Lexington, NC 27292-8131
Phone (336) 596-5495

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
P0009122NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1700278124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 HICKORY POINT DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272928131",
            "telephone_number": "336-596-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 N POINT BLVD STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063169",
            "telephone_number": "336-896-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTROUT",
        "first_name": "HEATHER",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P0009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.