Active NPI
Bruce Ullerup, LCSW
- Clinical Social Worker
- Barnardsville, NC
National Provider Identifier
1801948104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003071
- Practice address
- 14 Horseshoe Trail
Barnardsville, NC 28709 - Phone
- (828) 253-0643
- Fax
- (828) 225-2531
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- 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 | C003071 | NC | Primary |
Addresses
Primary practice location
14 Horseshoe Trail
Barnardsville, NC 28709
Mailing address
PO Box 1030
Mars Hill, NC 28754-1030
Phone (828) 253-0643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002090 | Medicaid | NC | |
| 12945 | Other | NC | BCBS |
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 |
|---|---|---|---|
| C003071 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce H Ullerup | Past | Accepting new patients | |
| Lovewell, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Asheville, NC
- NPI 1295285039
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1346795754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801948104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "MARS HILL",
"state": "NC",
"postal_code": "287541030",
"telephone_number": "828-253-0643",
"fax_number": "828-225-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HORSESHOE TRAIL",
"city": "BARNARDSVILLE",
"state": "NC",
"postal_code": "28709",
"telephone_number": "828-253-0643",
"fax_number": "828-225-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLERUP",
"first_name": "BRUCE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002090",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12945",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barnardsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.