Active NPI
Jennifer Morales Castro, MSW, LCSWA
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1760152359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016315
- Practice address
- 4024 Stirrup Creek Dr
Durham, NC 27703-9464 - Phone
- (919) 908-9730
- NPI assigned
- Sep 15, 2021
- Last updated
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016315 | NC | Primary |
Addresses
Primary practice location
4024 Stirrup Creek Dr
Durham, NC 27703-9464
Mailing address
PO Box 13289
Durham, NC 27709-3289
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
| License | State | Type | Specialty |
|---|---|---|---|
| P016315 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritas Collaborative, LLC | Past | Accepting new patients |
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, 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": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1760152359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13289",
"city": "DURHAM",
"state": "NC",
"postal_code": "277093289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 STIRRUP CREEK DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039464",
"telephone_number": "919-908-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JENNIFER",
"middle_name": "MORALES",
"credential": "MSW, LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.