Individual provider Active NPI

Clare Andrea Stadlen, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1730296922
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003990 Issued in NC
Practice address
1829 E Franklin St
Suite 100-H
Chapel Hill, NC 27514-5861
Phone
(919) 602-6766
Fax
(919) 968-2998
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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 C003990 NC Primary

Addresses

Primary practice location

1829 E Franklin St
Suite 100-H
Chapel Hill, NC 27514-5861

Mailing address

1829 E Franklin St
Suite 100-H
Chapel Hill, NC 27514-5861
Phone (919) 602-6766

Other identifiers 1

IdentifierTypeStateIssuer
136PHOtherNCBC/BS

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
I20091027000626 NC Practitioner - Clinical Social Worker 2062309545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2500

3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2572
Phone (919) 602-6766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clare a. Stadlen, LCSW, PLLC Clinical CurrentSince Nov 1, 2019 Accepting new patients

Locations

3622 Lyckan Pkwy
Ste 3002
Durham, NC 27707
Phone (919) 602-6766

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1730296922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "SUITE 100-H",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-602-6766",
            "fax_number": "919-968-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "SUITE 100-H",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-602-6766",
            "fax_number": "919-968-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLEN",
        "first_name": "CLARE",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "136PH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.