Individual provider Active NPI

Colleen Renee Merkins

  • Clinical Social Worker
  • Southern Pines, NC
National Provider Identifier
1760144802
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
101 Bradford Village CT
Southern Pines, NC 28387-5451
Phone
(910) 684-8750
Fax
(910) 725-0536
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 Primary

Addresses

Primary practice location

101 Bradford Village CT
Southern Pines, NC 28387-5451

Mailing address

402 Harris Ave
Raeford, NC 28376-3112
Phone (910) 875-5590

Other practice location 1

402 Harris Ave
Raeford, NC 28376-3112
Phone (910) 875-5590

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
I20240521000087 NC Practitioner - Clinical Social Worker 7416399670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Vision Counseling and Consulting Agency PLLCGroup PAC ID 5698049476, 6 clinicians

Practice addresses (Care Compare)

402 Harris Ave
Raeford, NC 28376-3112
Phone (910) 875-5590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Vision Counseling & Consulting Agency PLLC Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

402 Harris Ave
Raeford, NC 28376
Phone (910) 848-1638

101 Bradford Village Ct
Southern Pines, NC 28387
Phone (910) 684-8750

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1760144802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763112",
            "telephone_number": "910-875-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADFORD VILLAGE CT",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875451",
            "telephone_number": "910-684-8750",
            "fax_number": "910-725-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763112",
            "country_code": "US",
            "telephone_number": "910-875-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERKINS",
        "first_name": "COLLEEN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.