Organization Active NPI

Chapel Hill Training Outreach Project

  • Clinical Social Worker
  • Pittsboro, NC
National Provider Identifier
1811938210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO3955 Issued in NC
Legal business name
CHAPEL HILL TRAINING OUTREACH PROJECT
Practice address
35 Thompson St
Suite 204
Pittsboro, NC 27312-5653
Phone
(919) 542-9891
NPI assigned
Jun 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Rotella, MSW, LCSW
Title
Clinical Social Worker
Phone
(919) 542-9891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X COO3955 NC Primary

Addresses

Primary practice location

35 Thompson St
Suite 204
Pittsboro, NC 27312-5653

Mailing address

35 Thompson St
Suite 204
Pittsboro, NC 27312-5653
Phone (919) 542-9891

Other identifiers 1

IdentifierTypeStateIssuer
6106051MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Chapel Hill Training Outreach Project2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

35 Thompson St
Ste 204
Pittsboro, NC 27312
Phone (919) 200-8365

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811938210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THOMPSON ST",
            "address_2": "SUITE 204",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125653",
            "telephone_number": "919-542-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THOMPSON ST",
            "address_2": "SUITE 204",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125653",
            "telephone_number": "919-542-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL TRAINING OUTREACH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-542-9891",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO3955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.