Active NPI
Courtney Hayes, LCSW
- Clinical Social Worker
- Havelock, NC
National Provider Identifier
1780074609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012267
- Practice address
- 4389 Beaufort Rd
Havelock, NC 28532-8549 - Phone
- (522) 720-0276
- NPI assigned
- Jan 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | C012267 | NC | Primary |
Addresses
Primary practice location
4389 Beaufort Rd
Havelock, NC 28532-8549
Mailing address
4389 Beaufort Rd
Havelock, NC 28532-8549
Phone (252) 466-0342
Other practice location 1
6604 Six Forks Rd
Raleigh, NC 27615-6521
Phone (910) 448-4083
Other names 1
- Courtney Fowler
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C012267 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1780074609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 BEAUFORT RD",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285328549",
"telephone_number": "252-466-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 BEAUFORT RD",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285328549",
"telephone_number": "522-720-0276"
}
],
"practiceLocations": [
{
"address_1": "6604 Six Forks Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276156521",
"country_code": "US",
"telephone_number": "910-448-4083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "COURTNEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "FOWLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.