Individual provider Active NPI

Bryson Karbley, LCSWA

  • Clinical Social Worker
  • Fuquay Varina, NC
National Provider Identifier
1912775206
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020065 Issued in NC
Practice address
201 E Academy St Ste 102
Fuquay Varina, NC 27526-2248
Phone
(919) 980-5312
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 P020065 NC Primary

Addresses

Primary practice location

201 E Academy St Ste 102
Fuquay Varina, NC 27526-2248

Mailing address

829 Shadylawn Rd
Chapel Hill, NC 27514-2007
Phone (919) 980-5312

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
P020065NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1912775206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SHADYLAWN RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142007",
            "telephone_number": "919-980-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ACADEMY ST STE 102",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262248",
            "telephone_number": "919-980-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBLEY",
        "first_name": "BRYSON",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.