Individual provider Active NPI

Cortney White

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1902660905
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO19360 Issued in NC
Practice address
2018 Fort Bragg Rd Ste 122a&B
Fayetteville, NC 28303-7037
Phone
(910) 758-8778
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 PO19360 NC Primary

Addresses

Primary practice location

2018 Fort Bragg Rd Ste 122a&B
Fayetteville, NC 28303-7037

Mailing address

2018 Fort Bragg Rd Ste 122a&B
Fayetteville, NC 28303-7037

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PO19360NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Villages, Inc. CurrentSince Feb 11, 2024 Accepting new patients

Locations

2018 Fort Bragg Rd
Ste 122AB
Fayetteville, NC 28303
Phone (910) 758-8778

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1902660905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 FORT BRAGG RD STE 122A&B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 FORT BRAGG RD STE 122A&B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037037",
            "telephone_number": "910-758-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CORTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO19360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.