Individual provider Active NPI

Laura Anne Yates, MSW, LCSW, CPM

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1982928479
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006626 Issued in NC
Practice address
1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086
Phone
(910) 485-6336
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 C006626 NC Primary

Addresses

Primary practice location

1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086

Mailing address

226 King Mill Rd
Four Oaks, NC 27524-8364
Phone (919) 523-5842

Other practice location 1

1662 Booker Dairy Rd
Smithfield, NC 27577-9405
Phone (919) 938-0046

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000250 NC Practitioner - Clinical Social Worker 8325216625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Verna Dority MSW CCSW IncGroup PAC ID 6709070527, 19 clinicians

Practice addresses (Care Compare)

6321 Raeford Rd
Fayetteville, NC 28304-2810
Phone (910) 485-6336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Verna Dority, MSW, CCSW, Inc Clinical CurrentSince Jan 10, 2014 Accepting new patients
Carolina Counseling & Consultation Services Past Accepting new patients

Locations

6321 Raeford Rd
Fayetteville, NC 28304
Phone (910) 644-0051

1310 Raeford Rd
Ste 2
Fayetteville, NC 28305
Phone (910) 850-0367

602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1982928479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 KING MILL RD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275248364",
            "telephone_number": "919-523-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RAEFORD RD STE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055086",
            "telephone_number": "910-485-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1662 Booker Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779405",
            "country_code": "US",
            "telephone_number": "919-938-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.