Individual provider Active NPI

John S. Worm, M.S.W.

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1912938564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001687 Issued in NC
Practice address
106 3Rd Ave NE
Hickory, NC 28601-5014
Phone
(828) 322-8736
Fax
(828) 322-7890
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

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 C001687 NC Primary

Addresses

Primary practice location

106 3Rd Ave NE
Hickory, NC 28601-5014

Mailing address

106 3Rd Ave NE
Hickory, NC 28601-5014
Phone (828) 322-8736

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
I20131114001402 NC Practitioner - Clinical Social Worker 1759517048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Group, P.a.Group PAC ID 0345274767, 6 clinicians

Practice addresses (Care Compare)

106 3Rd Ave NE
Hickory, NC 28601-5014
Phone (828) 322-9130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Group, P.a. CurrentSince Nov 1, 2013 Accepting new patients

Locations

106 3rd Ave NE
Hickory, NC 28601
Phone (828) 322-8736

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912938564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 3RD AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015014",
            "telephone_number": "828-322-8736",
            "fax_number": "828-322-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 3RD AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015014",
            "telephone_number": "828-322-8736",
            "fax_number": "828-322-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORM",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.