SOUTHSIDE UNITED HEALTH CENTERS (NPI# 1861929523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861929523 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE UNITED HEALTH CENTERS |
| Practice Address |
3009 Waughtown St Winston Salem NC 27107 |
| Mailing Address |
3009 Waughtown St Winston Salem NC 27107-1634 |
| Practice Telephone | 3362938728 |
| Practice Fax Number | 3362938733 |
| Mailing Telephone | 3362938728 |
| Mailing Fax Number | 3362938733 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | SHIRLEY KOTOFSKY (FINANCIAL SERVICES REPRESENTATIVE) |
| Authorized Official Telephone | 3369551379 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265911705 | Southside United Health Centers | Dentist | 2101 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-08-07 |
| 1811136476 | Southside United Health Centers | Dentist | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2009-02-05 |
| Street Address |
3009 WAUGHTOWN ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932465069 | Emilie M Mcnair | Nurse Practitioner | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2012-04-03 |
| 1891016663 | Lindsey Anne Sachs | Family Medicine | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2010-06-16 |
| 1811136476 | Southside United Health Centers | Dentist | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2009-02-05 |
| 1518124916 | Jennifer L Roberts | Family Medicine | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2008-05-22 |
| 1952505315 | Claudine Y Corbett | Family Medicine | 3009 Waughtown St, Winston Salem, NC 27107-1634 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| 1497049266 | Crse Advanced Placement Homes, Inc. | Community/Behavioral Health | 2019 Milford St, Winston Salem, NC 27107-1332 | 2011-06-08 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884362 | Ranesha Denae Boyd | Social Worker | 2270 Naomi Dr, Winston Salem, NC 27107-4602 | 2020-09-01 |
| 1326665563 | Kristy Dobbins | Social Worker | 3240 Trenchard Ln, Winston Salem, NC 27127-5927 | 2020-07-04 |
| 1033731781 | Robert D Worley | Social Worker | 480 Virginia Newell Ln, Winston Salem, NC 27101-4575 | 2020-05-15 |
| 1659900793 | Peaty Counseling and Consulting, Pllc | Social Worker | 1250 Foxhall Dr, Winston Salem, NC 27106-4436 | 2020-04-01 |
| 1407482862 | Jaime Wright | Social Worker | 3000 Bethesda Pl Ste 801, Winston Salem, NC 27103-3330 | 2020-03-18 |
| 1043778210 | Bernice Cook | Social Worker | 2223 Greenway Ave, Winston Salem, NC 27105-5120 | 2019-03-06 |
| 1285103812 | Kimberley Renee Hunt | Social Worker | 4711 Seminole Ct, Winston Salem, NC 27127-9432 | 2018-11-13 |
| 1619459864 | Shadae T Williams | Social Worker | 1224 Collegian Ter, Winston Salem, NC 27106-6340 | 2018-09-04 |
| 1104321017 | Melanie Carol Mccarthy | Social Worker | 1202 Miller St, Winston Salem, NC 27103-4445 | 2018-03-25 |
| 1417459371 | Awakenings Counseling | Social Worker | 770 Highland Oaks Dr # 100, Winston Salem, NC 27103-7105 | 2018-03-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.