Active NPI
Integrated Family Services, PLLC
- Clinical Social Worker
- Jackson, NC
National Provider Identifier
1760707996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003507
- Legal business name
- INTEGRATED FAMILY SERVICES, PLLC
- Practice address
- 9486 NC Hwy 305
Jackson, NC 27845 - Phone
- (252) 862-4411
- NPI assigned
- Mar 31, 2010
- Last updated
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Jerome Manley-Rook, LCSW
- Title
- Administrative Director
- Phone
- (252) 862-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003507 | NC | Primary |
Addresses
Primary practice location
9486 NC Hwy 305
Jackson, NC 27845
Mailing address
PO Box 885
Ahoskie, NC 27910-0885
Phone (252) 862-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000513 | NC | Part B Supplier - Clinic/Group Practice | 2567464563 |
Receives reassigned benefits from 14 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilmington, NC; Jacksonville, NC; Elizabeth City, NC; Greenville, NC; Ahoskie, NC |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Social Worker
- Elizabeth City, NC
- NPI 1629205208
O20080523000513
-
- Community/Behavioral Health Agency
- Ahoskie, NC
- NPI 1942289244
O20080523000513
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1356894638
O20080523000513
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1679009237
O20080523000513
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1760707996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279100885",
"telephone_number": "252-862-4411",
"fax_number": "252-862-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9486 NC HWY 305",
"city": "JACKSON",
"state": "NC",
"postal_code": "27845",
"telephone_number": "252-862-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED FAMILY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "MANLEY-ROOK",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "252-862-4411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.