Individual provider Active NPI

Josphine Chaumba

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1952834707
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834
Phone
(910) 339-0400
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 NC Primary

Addresses

Primary practice location

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Mailing address

1505 Epic Way
Hope Mills, NC 28348-7545

Other practice location 1

411 Andrews Rd
Suite 130
Durham, NC 27705-2993
Phone (919) 682-5777

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Community Support Services, Inc. Past Accepting new patients
Carolina Community Support Services, Inc. Past Accepting new patients
Cape Fear Behavioral Health Center LLC PastSince Apr 20, 2026 Accepting new patients

Organizations & group practices 3

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1952834707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EPIC WAY",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Andrews Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052993",
            "country_code": "US",
            "telephone_number": "919-682-5777",
            "fax_number": "919-687-6975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUMBA",
        "first_name": "JOSPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "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 Nov 9, 2018; 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.