Noelani Shae Lynch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022635 Issued in NC

Practice address

773 Old Main Rd
Pembroke, NC 28372-8753

Phone

(910) 775-9201

NPI assigned

Dec 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pembroke Center for Wellness, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke, NC
  • NPI 1699008144
  Medicare reassignment NPD
• Pembroke Center for Wellness, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke, NC
  • NPI 1467726448

  Clinical

  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1841069473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 OLD MAIN RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728753",
            "telephone_number": "910-374-1585",
            "fax_number": "910-374-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 OLD MAIN RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728753",
            "telephone_number": "910-775-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Nancy Ln",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283729216",
            "country_code": "US",
            "telephone_number": "910-374-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "NOELANI",
        "middle_name": "SHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022635",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Brooke Lowry
• Tamra Lowry, CCC-SLP
• Tulula Locklear Lowry, M.D.
• Lumbee Angels 575 Home Care Agency LLC
• Ella Olehonna Lynch, FNP-C, PMHNP-BC
• Rogelio Arturo Lynch Jr.
• Layla Makarem Vique
• Karen A Manning, NP
• Katie Joanne Marlowe, PHARM.D.
• William Richard Mathis, MA

• Clinical Social Worker in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.