Active NPI
Hannah Shae Lundy, MSW
- Clinical Social Worker
- High Point, NC
National Provider Identifier
1942884804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016075
- Practice address
- 338 Burton Ave
High Point, NC 27262-8070 - Phone
- (336) 861-9243
- Fax
- (336) 861-9253
- NPI assigned
- May 7, 2021
- Last updated
- May 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016075 | NC | Primary |
Addresses
Primary practice location
338 Burton Ave
High Point, NC 27262-8070
Mailing address
PO Box 485
High Point, NC 27261-0485
Phone (336) 883-1361
Other practice location 1
2962 Youth Unlimited Dr
Sophia, NC 27350-8481
Phone (336) 861-9243
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
| License | State | Type | Specialty |
|---|---|---|---|
| P016075 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Unlimited Inc | Past | Accepting new patients | |
| Youth Unlimited Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Sophia, NC
- NPI 1073951281
-
- Community/Behavioral Health Agency
- High Point, NC
- NPI 1407901689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1942884804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272610485",
"telephone_number": "336-883-1361",
"fax_number": "336-883-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 BURTON AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272628070",
"telephone_number": "336-861-9243",
"fax_number": "336-861-9253"
}
],
"practiceLocations": [
{
"address_1": "2962 Youth Unlimited Dr",
"address_purpose": "LOCATION",
"city": "Sophia",
"state": "NC",
"postal_code": "273508481",
"country_code": "US",
"telephone_number": "336-861-9243",
"fax_number": "336-861-9253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNDY",
"first_name": "HANNAH",
"middle_name": "SHAE",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.