Active NPI
John N Von Der Lehr, LCSW
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007553
- Practice address
- 1003 Saint Marys St
Raleigh, NC 27605-1232 - Phone
- (919) 802-5225
- NPI assigned
- Dec 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007553 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 58204 | TX |
Addresses
Primary practice location
1003 Saint Marys St
Raleigh, NC 27605-1232
Mailing address
1003 Saint Marys St
Raleigh, NC 27605-1232
Phone (919) 802-5225
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118002978 | NC | Practitioner - Clinical Social Worker | 2466678404 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindly Group, PLLC
Practice addresses (Care Compare)
501 Keisler Dr
Suite 104
Cary, NC 27518-9322
Phone (919) 617-9656
8406 Six Forks Rd
Suite 204
Raleigh, NC 27615-3074
Phone (919) 617-9656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007553 | NC | MD | Clinical Social Worker |
| 58204 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindly Group, PLLC | Clinical | Current | Accepting new patients |
Locations
501 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 617-9656
8406 Six Forks Rd
Ste 201
Raleigh, NC 27615
Phone (919) 617-9656
8406 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (919) 617-9656
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": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1962770487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 SAINT MARYS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051232",
"telephone_number": "919-802-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 SAINT MARYS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051232",
"telephone_number": "919-802-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON DER LEHR",
"first_name": "JOHN",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-12",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007553",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.