Active NPI
Anna L McLaughlin
- Clinical Social Worker
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012880
- Practice address
- 3640 Express Dr
Shallotte, NC 28470-6501 - Phone
- (910) 755-5222
- NPI assigned
- Oct 30, 2018
- Last updated
- Oct 30, 2018
- 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 | P012880 | NC | Primary |
Addresses
Primary practice location
3640 Express Dr
Shallotte, NC 28470-6501
Mailing address
3640 Express Dr
Shallotte, NC 28470-6501
Phone (910) 755-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P012880 | Other | NC | NC SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P012880 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Coastal Southeastern United Care LLC | Past | Accepting new patients |
Locations
301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817
460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817
750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829
115 Thomas St
#B
Union, SC 29379
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
dba ReGenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
dba Regenesis Community Health Center
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
dba Regenesis Health Center- Northside
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
-
dba Gaffney Medical Center
- Federally Qualified Health Center (FQHC)
- Gaffney, SC
- NPI 1245409846
-
dba Regenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
-
dba Coastal Southeastern United Care
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1346477403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1770050627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 EXPRESS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706501",
"telephone_number": "910-755-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 EXPRESS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706501",
"telephone_number": "910-755-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "ANNA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC SOCIAL WORKER",
"identifier": "P012880",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.