David Jason Perdue, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006831 Issued in NC

Practice address

1311 First St W
Ahoskie, NC 27910-8842

Phone

(252) 209-8932

Fax

(252) 332-2483

NPI assigned

Jun 15, 2010

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Bertie County Rural Health AssociationGroup PAC ID 8325949167, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1396886842
  Medicare reassignment Care Compare group NPD
• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Lewiston, NC
  • NPI 1841541877
  NPD
• Bertie County Rural Health Association

  dba Windsor Community Health Center Pharmacy

  • Clinic Pharmacy
  • Windsor, NC
  • NPI 1801427711
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1861713711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349079",
            "telephone_number": "252-830-7561",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FIRST ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108842",
            "telephone_number": "252-209-8932",
            "fax_number": "252-332-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DAVID",
        "middle_name": "JASON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymond D Outlaw
• Patricia Lynn Owens, LCHMC, LCAS
• Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
• Madhu Parmar, M.D.
• Thomas E. Parrish, P.A.-C
• Mary Kathleen Boone Perry, FNP
• Romel G Perry, FNP-BC
• Gregory R Phillips, CRNA
• Charles G Pierce, M.D.
• Mary Walters Pierce, MS CCC SLP

• Clinical Social Worker in Ahoskie, NC
• Providers in Ahoskie, 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 9, 2015; 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.