Individual provider Active NPI

Joanne Marie Schaffer, MSW, LCSW

  • Clinical Social Worker
  • Youngsville, NC
National Provider Identifier
1871527960
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004022 Issued in NC
Practice address
1618 US 1 Hwy
Youngsville, NC 27596-9219
Phone
(919) 562-9922
Fax
(919) 562-9917
NPI assigned
Jul 11, 2006
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004022 NC Primary

Addresses

Primary practice location

1618 US 1 Hwy
Youngsville, NC 27596-9219

Mailing address

1618 US 1 Hwy
Youngsville, NC 27596-9219
Phone (919) 562-9922

Other identifiers 1

IdentifierTypeStateIssuer
1871527960MedicaidNC

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
I20051208000535 NC Practitioner - Clinical Social Worker 9234150061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1618 US Hwy 1 N
Youngsville, NC 27596-9219
Phone (919) 495-0654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne M Schaffer MSW LCSW PA Clinical CurrentSince Sep 1, 2006 Accepting new patients

Locations

1618 US 1 Hwy
Youngsville, NC 27596
Phone (919) 495-0654

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1871527960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 US 1 HWY",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969219",
            "telephone_number": "919-562-9922",
            "fax_number": "919-562-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 US 1 HWY",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969219",
            "telephone_number": "919-562-9922",
            "fax_number": "919-562-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871527960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

Verify at the official NPI Registry.