Individual provider Active NPI

Rose Patrice Planer, LCSW

  • Clinical Social Worker
  • Belmont, NC
National Provider Identifier
1902293707
Registry record updated May 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008455 Issued in NC
Practice address
1212 Spruce St
Suite 315
Belmont, NC 28012-3385
Phone
(704) 461-8253
Fax
(704) 461-8267
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2015

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 C008455 NC Primary

Addresses

Primary practice location

1212 Spruce St
Suite 315
Belmont, NC 28012-3385

Mailing address

1212 Spruce St
Suite 315
Belmont, NC 28012-3385
Phone (704) 461-8253

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

LicenseStateTypeSpecialty
C008455NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430524800000",
    "number": "1902293707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "address_2": "SUITE 315",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "704-461-8253",
            "fax_number": "704-461-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "address_2": "SUITE 315",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "704-461-8253",
            "fax_number": "704-461-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANER",
        "first_name": "ROSE",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.