Active NPI
Nichole A. Lilly
- Clinical Social Worker
- Buies Creek, NC
National Provider Identifier
1841593159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P015187
- Practice address
- 5841 Hwy. 421 S.
Buies Creek, NC 27506-0457 - Phone
- (910) 893-5727
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 | P015187 | NC | Primary |
Addresses
Primary practice location
5841 Hwy. 421 S.
Buies Creek, NC 27506-0457
Mailing address
6126 Twiggs CT
Hope Mills, NC 28348-9036
Phone (910) 644-7596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P015187 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services Inc | Counselor | Past | Accepting new patients |
| Daymark Recovery Services Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lillington, NC
- NPI 1255573911
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1841593159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 TWIGGS CT",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283489036",
"telephone_number": "910-644-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 HWY. 421 S.",
"city": "BUIES CREEK",
"state": "NC",
"postal_code": "275060457",
"telephone_number": "910-893-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "NICHOLE",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buies Creek, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.