Active NPI
Dina Paul, LCSW
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1902107303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO7556
- Practice address
- 2129 Statesville Blvd
Salisbury, NC 28147-1411 - Phone
- (704) 633-3316
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO7556 | NC | Primary |
Addresses
Primary practice location
2129 Statesville Blvd
Salisbury, NC 28147-1411
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO7556 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1902107303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831",
"telephone_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471411",
"telephone_number": "704-633-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "DINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO7556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.