Peggy Lynette Bennett, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009424 Issued in NC

Practice address

221 Ja Lilly Dr
Vanceboro, NC 28586-7501

Phone

(252) 633-3855

NPI assigned

Mar 26, 2015

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

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

University of New England, College of Osteo Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Fresh Start Behavioral Health Services, PLLCGroup PAC ID 9931466646, 6 clinicians

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

• A Fresh Start Behavioral Health Services, PLLC

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1710499223
  Medicare reassignment Care Compare group NPD
• Imperial Counseling & Coaching Services, LLC

  • Clinical Social Worker
  • 27834, NC
  • NPI 1952110561
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1861886970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 JA LILLY DR",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "285867501",
            "telephone_number": "252-214-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JA LILLY DR",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "285867501",
            "telephone_number": "252-633-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PEGGY",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix Ackerman, APRN, NP-C
• Joann Marie Anderson, CRT
• Tamara C Babb, MD
• Sara Brame, RPH
• Carolina East Physicians
• Carolinaeast Medical Center (CarolinaEast Primary Care)
• Choices Group Home, Inc.
• Desiree Townsend Davis, AGPCNP

• Clinical Social Worker in Vanceboro, NC
• Providers in Vanceboro, 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 Oct 19, 2023; 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.