Active NPI
Ernestine Futrell Webster, LCSW
- Clinical Social Worker
- Ahoskie, NC
National Provider Identifier
1831719376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011963
- Practice address
- 642 Mount Moriah Rd
Ahoskie, NC 27910-9336 - Phone
- (252) 340-3832
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | C011963 | NC | Primary |
Addresses
Primary practice location
642 Mount Moriah Rd
Ahoskie, NC 27910-9336
Mailing address
642 Mount Moriah Rd
Ahoskie, NC 27910-9336
Phone (252) 340-3832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical North Carolina, PLLC | Current | Accepting new patients |
Locations
915 Pee Dee Rd
Aberdeen, NC 28315
Phone (910) 690-1373
604 Stokes St E
Ahoskie, NC 27910
Phone (252) 332-2126
550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797
920 Jr High School Rd
Scotland Neck, NC 27874
Phone (252) 826-5146
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1831719376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 MOUNT MORIAH RD",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279109336",
"telephone_number": "252-340-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 MOUNT MORIAH RD",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279109336",
"telephone_number": "252-340-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "ERNESTINE",
"middle_name": "FUTRELL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.