Individual provider Active NPI

Charleen N Enns, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1932357977
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004453 Issued in NC
Practice address
728 Carl Dr
Chapel Hill, NC 27516-9346
Phone
(919) 622-3847
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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 C004453 NC Primary

Addresses

Primary practice location

728 Carl Dr
Chapel Hill, NC 27516-9346

Mailing address

728 Carl Dr
Chapel Hill, NC 27516-9346
Phone (919) 622-3847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2024 through Jan 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C004453NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scout Counseling Services PLLC Clinical Current Accepting new patients

Locations

400 Market St
Ste 105C
Chapel Hill, NC 27516
Phone (919) 675-2595

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1932357977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CARL DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169346",
            "telephone_number": "919-622-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 CARL DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169346",
            "telephone_number": "919-622-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNS",
        "first_name": "CHARLEEN",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.