Individual provider Active NPI

Lauri Warren-Tignor

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1891716270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002582 Issued in NC
Practice address
725 Broad St
Durham, NC 27705-4833
Phone
(919) 433-1491
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C002582 NC Primary

Addresses

Primary practice location

725 Broad St
Durham, NC 27705-4833

Mailing address

1511 Whippoorwill LN
Chapel Hill, NC 27517-7534

Other identifiers 1

IdentifierTypeStateIssuer
6003351MedicaidNC

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
I20060310000126 NC Practitioner - Clinical Social Worker 5294742656 Reassigns benefits to 1 organization
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002582NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions, PA CurrentSince Sep 1, 2012 Accepting new patients
Community Care Service LLC Clinical PastSince Jan 1, 2013 Accepting new patients

Locations

5318 Highgate Dr
Ste 131
Durham, NC 27713
Phone (919) 419-0524

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891716270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WHIPPOORWILL LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054833",
            "telephone_number": "919-433-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN-TIGNOR",
        "first_name": "LAURI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.