Individual provider Active NPI

Gilda D Suiter, LCSW-A

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1851941454
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015999 Issued in NC
Practice address
2003 E NC Highway 54 Ste C
Durham, NC 27713-2483
Phone
(919) 682-5300
NPI assigned
Sep 16, 2019
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013827 NC
Clinical Social Worker 1041C0700X C015999 NC Primary

Addresses

Primary practice location

2003 E NC Highway 54 Ste C
Durham, NC 27713-2483

Mailing address

509 Uzzle St
Durham, NC 27713-1637
Phone (919) 638-5599

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231009003519 NC Practitioner - Clinical Social Worker 2769837822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013827NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Change Health Services, LLC PastSince Sep 24, 2023 Accepting new patients
Upward Change Health Services PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1851941454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 UZZLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131637",
            "telephone_number": "919-638-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54 STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132483",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITER",
        "first_name": "GILDA",
        "middle_name": "D",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.