Pearlie Mae Hodges, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005670 Issued in NC

Practice address

408 Waddell Dr
Fayetteville, NC 28301-2860

Phone

(910) 339-9322

Fax

(910) 703-8789

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Matters Centers for Hope, Health and Healing

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1245589076
  Medicare reassignment NPD Authorized official
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1962541573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9532",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119088",
            "telephone_number": "910-483-7068",
            "fax_number": "910-703-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WADDELL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283012860",
            "telephone_number": "910-339-9322",
            "fax_number": "910-703-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "PEARLIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Lee Hodge II
• Hodges Family Pharmacy LLC
• Ana Ceide Hodges, M.D.
• Leroy Alexander Hodges, PHARM.D.
• Michael Carson Hodges, MD
• Stephanie Hodges, DNP, FNP-C
• Jay Hodgkin
• Kathryn Hoemann, APRN
• Christine Hoener, PMHNP
• Jennifer Renai Hoenig, A.T.C

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.