NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1851545784
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Practice address
400 Roberson St
Carrboro, NC 27510-2367
Phone
(919) 966-9803
Fax
(919) 966-9169
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Constance Renz, LCSWNPI 1700912607
Title
Director of Program
Phone
(919) 966-9803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

400 Roberson St
Carrboro, NC 27510-2367

Mailing address

400 Roberson St
Carrboro, NC 27510-2367
Phone (919) 966-9803

Other identifiers 1

IdentifierTypeStateIssuer
5950124MedicaidNC

Other names 1

  • UNC Horizons Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one
Part of
Center for Maternal Infant Health

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1851545784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RENZ",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Horizons Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 5, 2008; 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.