Active NPI
Ruby Esmeralda Basilio
- Clinical Social Worker
- Harrells, NC
National Provider Identifier
1760176242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 89 Charlie Smith Dr
Harrells, NC 28444-8091 - Phone
- (910) 549-7605
- NPI assigned
- Jun 7, 2023
- Last updated
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
89 Charlie Smith Dr
Harrells, NC 28444-8091
Mailing address
89 Charlie Smith Dr
Harrells, NC 28444-8091
Phone (910) 549-7605
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1760176242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CHARLIE SMITH DR",
"city": "HARRELLS",
"state": "NC",
"postal_code": "284448091",
"telephone_number": "910-549-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 CHARLIE SMITH DR",
"city": "HARRELLS",
"state": "NC",
"postal_code": "284448091",
"telephone_number": "910-549-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILIO",
"first_name": "RUBY",
"middle_name": "ESMERALDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrells, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.