Organization Active NPI

Melany Coopmans Vizithum LCSW PC

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1831107739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004091 Issued in NC
Legal business name
MELANY COOPMANS VIZITHUM LCSW PC
Practice address
200 W Weaver St
Suite 2
Carrboro, NC 27510-6009
Phone
(919) 636-0984
Fax
(919) 968-0403
NPI assigned
Aug 4, 2006
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
Mrs. Melany Beth Coopmans Vizithum, MA LCSW
Title
LCSW
Phone
(919) 636-0984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C004091 NC Primary

Addresses

Primary practice location

200 W Weaver St
Suite 2
Carrboro, NC 27510-6009

Mailing address

200 W Weaver St
Suite 2
Carrboro, NC 27510-6009
Phone (919) 636-0984

National Provider Directory

National Provider Directory

Locations

200 W Weaver St
Ste 2
Carrboro, NC 27510
Phone (919) 636-0984

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831107739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WEAVER ST",
            "address_2": "SUITE 2",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106009",
            "telephone_number": "919-636-0984",
            "fax_number": "919-968-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WEAVER ST",
            "address_2": "SUITE 2",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106009",
            "telephone_number": "919-636-0984",
            "fax_number": "919-968-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANY COOPMANS VIZITHUM LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPMANS VIZITHUM",
        "authorized_official_first_name": "MELANY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "919-636-0984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, 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.