Individual provider Active NPI

Mary Dobelstein Constantino, MSW

  • Clinical Social Worker
  • Oxford, NC
National Provider Identifier
1821373648
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007542 Issued in NC
Practice address
1032 College St BLDG B
Oxford, NC 27565-2507
Phone
(919) 693-2141
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 C007542 NC Primary

Addresses

Primary practice location

1032 College St BLDG B
Oxford, NC 27565-2507

Mailing address

7001 Wilderness Rd
Raleigh, NC 27613-3682
Phone (919) 624-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190824000708 NC Practitioner - Clinical Social Worker 4981862687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville-Vance District Health DepartmentGroup PAC ID 6305934753, 3 clinicians

Practice addresses (Care Compare)

1032 College St
Oxford, NC 27565-2507
Phone (919) 693-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Duke University Health System, Inc. Clinical CurrentSince Aug 1, 2022 Accepting new patients
Granville-Vance District Health Department CurrentSince Jul 1, 2024 Accepting new patients
Granville-Vance District Health Department Past Accepting new patients

Locations

501 Douglas St
Durham, NC 27705
Phone (800) 235-3853

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

115 Charles Rollins Rd
Henderson, NC 27536
Phone 2524927915 ext. 260

1032 College St
Oxford, NC 27565
Phone (919) 693-2141

1032 College St
Bldg B
Oxford, NC 27565
Phone (919) 693-2141

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1821373648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 WILDERNESS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133682",
            "telephone_number": "919-624-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST BLDG B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "MARY",
        "middle_name": "DOBELSTEIN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.