Individual provider Active NPI

James Anthony Vales Sr., LCSW-P

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1801113899
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P005336 Issued in NC
Practice address
4276 Legend Ave
Fayetteville, NC 28303-1965
Phone
(910) 485-6843
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P005336 NC Primary

Addresses

Primary practice location

4276 Legend Ave
Fayetteville, NC 28303-1965

Mailing address

4276 Legend Ave
Fayetteville, NC 28303-1965
Phone (910) 485-6843

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

LicenseStateTypeSpecialty
P005336NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1801113899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 LEGEND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283031965",
            "telephone_number": "910-485-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 LEGEND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283031965",
            "telephone_number": "910-485-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALES",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.