| Carolina Outreach, Llc | |
|
2670 Durham Chapel Hill Blvd Durham NC 27707-2829 | |
| (919) 251-9001 | |
| (919) 251-9008 |
| Full Name | Carolina Outreach, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2670 Durham Chapel Hill Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Timothy H Brooks (CO-DIRECTOR) |
| Authorized Official Contact | 9192519001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Outreach, Llc 2670 Durham Chapel Hill Blvd Durham NC 27707-2829 Ph: (919) 251-9001 | Carolina Outreach, Llc 2670 Durham Chapel Hill Blvd Durham NC 27707-2829 Ph: (919) 251-9001 |
| NPI Number | 1083723266 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/13/2013 |
| Medicare PECOS PAC ID | 0446449748 |
|---|---|
| Medicare Enrollment ID | O20110118000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083723266 | NPI | - | NPPES |
| 5904169 | Medicaid | NC | |
| 8300219 | Medicaid | NC | |
| 6005418 | Medicaid | NC |
| Provider Name | Karen Leigh Billmire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912949462 PECOS PAC ID: 0244281715 Enrollment ID: I20050202000662 |
| Provider Name | Carol W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154364578 PECOS PAC ID: 3274545199 Enrollment ID: I20060614000281 |
| Provider Name | Bradford Prinzhorn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982682910 PECOS PAC ID: 8921192568 Enrollment ID: I20070927000677 |
| Provider Name | Anastasia M Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174700991 PECOS PAC ID: 7618050881 Enrollment ID: I20080211000665 |
| Provider Name | Lucy M Chartier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043403728 PECOS PAC ID: 8022166065 Enrollment ID: I20090501000269 |
| Provider Name | Julie P Dowless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821067695 PECOS PAC ID: 0749333631 Enrollment ID: I20090724000168 |
| Provider Name | Peter Paul Buonaccorsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639208978 PECOS PAC ID: 9931391653 Enrollment ID: I20101012001417 |
| Provider Name | Steven Worringham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831241025 PECOS PAC ID: 7315126547 Enrollment ID: I20110120000514 |
| Provider Name | Robin A Sartain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477711513 PECOS PAC ID: 8123202785 Enrollment ID: I20110406000783 |
| Provider Name | James Arthur Disney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962603506 PECOS PAC ID: 8527237783 Enrollment ID: I20110804000758 |
| Provider Name | Adrian N Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013225697 PECOS PAC ID: 7012186968 Enrollment ID: I20110809000910 |
| Provider Name | Laurie Lynne Arena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255453007 PECOS PAC ID: 9739364787 Enrollment ID: I20130102000306 |
| Provider Name | Audrey M Wisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362116 PECOS PAC ID: 5395970917 Enrollment ID: I20131106001081 |
| Provider Name | Marissa Anna Touhey Holsten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811284805 PECOS PAC ID: 8527295344 Enrollment ID: I20131223001655 |
| Provider Name | Simran Cutrofello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295008878 PECOS PAC ID: 8123248515 Enrollment ID: I20141007001557 |
| Provider Name | Verena Maria Socolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730421009 PECOS PAC ID: 3274753454 Enrollment ID: I20141010001134 |
| Provider Name | Christina S Earley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770926842 PECOS PAC ID: 8820210271 Enrollment ID: I20141119001431 |
| Provider Name | Michele L Graffam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952638991 PECOS PAC ID: 8628390788 Enrollment ID: I20141201002084 |
| Provider Name | Brittany H Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689912578 PECOS PAC ID: 2961728399 Enrollment ID: I20150303000460 |
| Provider Name | Margaret Champion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659431849 PECOS PAC ID: 8628389459 Enrollment ID: I20150622000776 |
| Provider Name | Monique L Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972719 PECOS PAC ID: 7719296144 Enrollment ID: I20151026000197 |
| Provider Name | Gwen Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508239054 PECOS PAC ID: 3779884655 Enrollment ID: I20151217002773 |
| Provider Name | Ann Marie M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285981522 PECOS PAC ID: 5698071199 Enrollment ID: I20160309002024 |
| Provider Name | Marisha L Mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609253681 PECOS PAC ID: 8426340985 Enrollment ID: I20160705000052 |
| Provider Name | Kasey Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912382540 PECOS PAC ID: 4587950738 Enrollment ID: I20160914001572 |
| Provider Name | Krista Spoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164803524 PECOS PAC ID: 5991078289 Enrollment ID: I20170908000402 |
| Provider Name | Jamie Stein Smolko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023531316 PECOS PAC ID: 9830464726 Enrollment ID: I20171003005016 |
| Provider Name | Eiman Newcomer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407269913 PECOS PAC ID: 8921373689 Enrollment ID: I20171005000820 |
| Provider Name | Justin Kretzschmar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144691403 PECOS PAC ID: 0042585739 Enrollment ID: I20171005002069 |
| Provider Name | Meagan Elizabeth Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356867279 PECOS PAC ID: 4880952985 Enrollment ID: I20171219001800 |
| Provider Name | Andrew Timothy Heil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235639907 PECOS PAC ID: 8820353816 Enrollment ID: I20180522000866 |
| Provider Name | Malika Bowser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710358551 PECOS PAC ID: 3678838935 Enrollment ID: I20180607001987 |
| Provider Name | Ashley Hageman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992077788 PECOS PAC ID: 3375895295 Enrollment ID: I20181003003943 |
| Provider Name | Latresha Sade Artis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619246238 PECOS PAC ID: 1557602000 Enrollment ID: I20190410000228 |
| Provider Name | Stephanie M Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710334305 PECOS PAC ID: 7911249032 Enrollment ID: I20190419000683 |
| Provider Name | Caroline Christina Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584610 PECOS PAC ID: 7315289139 Enrollment ID: I20190426001826 |
| Provider Name | Elzona Mae Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063843340 PECOS PAC ID: 8325381395 Enrollment ID: I20190514001597 |
| Provider Name | Leigh W Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114583275 PECOS PAC ID: 2769710870 Enrollment ID: I20190828001306 |
| Provider Name | Sandra Blazek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942721295 PECOS PAC ID: 8527390392 Enrollment ID: I20191028002062 |
| Provider Name | Shalon Evette Bobbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750593 PECOS PAC ID: 9739513649 Enrollment ID: I20200102000037 |
| Provider Name | Krishna Munshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205067212 PECOS PAC ID: 1456787712 Enrollment ID: I20200204002091 |
| Provider Name | Molly Martucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750804290 PECOS PAC ID: 1658707609 Enrollment ID: I20200211000567 |
| Provider Name | Twanna Tonyetta Maria Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932706421 PECOS PAC ID: 5597178020 Enrollment ID: I20201230001669 |
| Provider Name | Vivian Jerrylyn Hurlston Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558855106 PECOS PAC ID: 6901211531 Enrollment ID: I20210212000973 |
| Provider Name | Madeline Grace Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003379298 PECOS PAC ID: 1557765005 Enrollment ID: I20210805003707 |
| Provider Name | Robert Neal Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821584335 PECOS PAC ID: 5395135289 Enrollment ID: I20211208002220 |
| Provider Name | Shela Aquan West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480238 PECOS PAC ID: 4880082346 Enrollment ID: I20211222000338 |
| Provider Name | Perry Townsend Fountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457904054 PECOS PAC ID: 2860888542 Enrollment ID: I20220405002880 |
| Provider Name | James B Moseley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568438505 PECOS PAC ID: 3577594001 Enrollment ID: I20220407002509 |
| Provider Name | Cheyenne Brooke Utt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880339 PECOS PAC ID: 7719373281 Enrollment ID: I20220408002240 |
| Provider Name | Larry Wayne Clubine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033386610 PECOS PAC ID: 0244626695 Enrollment ID: I20220412000256 |
| Provider Name | Amanda Nicole Strott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750879292 PECOS PAC ID: 0446637078 Enrollment ID: I20220519001207 |
| Provider Name | Lindsey Lynn Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407393408 PECOS PAC ID: 2466711239 Enrollment ID: I20220629000415 |
| Provider Name | Laurel Elizabeth Devore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780170738 PECOS PAC ID: 2860873411 Enrollment ID: I20220714000321 |
| Provider Name | Anne Helen Olivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427673789 PECOS PAC ID: 6406222181 Enrollment ID: I20221020002572 |
| Provider Name | Monejah Inez King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972216752 PECOS PAC ID: 9133594872 Enrollment ID: I20230411000302 |
| Provider Name | Emily Ann Greenberg |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1497328421 PECOS PAC ID: 6002266087 Enrollment ID: I20240103002779 |
| Provider Name | Sade' Tinsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760038954 PECOS PAC ID: 0648613646 Enrollment ID: I20240207000145 |
| Provider Name | Brandi Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548505092 PECOS PAC ID: 6901249655 Enrollment ID: I20240209000027 |
| Provider Name | Dominique Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770156556 PECOS PAC ID: 2769827989 Enrollment ID: I20240228000177 |
| Provider Name | Madeline Reed Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548887300 PECOS PAC ID: 5991143950 Enrollment ID: I20240410000207 |
| Provider Name | Yolanda Mainor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750944062 PECOS PAC ID: 5294174884 Enrollment ID: I20240416000591 |
| Provider Name | Dana Dahringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629747787 PECOS PAC ID: 7719326347 Enrollment ID: I20240416002237 |
| Provider Name | Sara Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841861598 PECOS PAC ID: 4880033091 Enrollment ID: I20240422000862 |
| Provider Name | Patrick Henry Snowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902572233 PECOS PAC ID: 9537508502 Enrollment ID: I20240424000310 |
| Provider Name | Genna Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124786017 PECOS PAC ID: 9537509518 Enrollment ID: I20240425000653 |
| Provider Name | Alexandra Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932873866 PECOS PAC ID: 5193166700 Enrollment ID: I20240514002962 |
| Provider Name | Deitrick D Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023581188 PECOS PAC ID: 0547602955 Enrollment ID: I20240530000731 |
| Provider Name | Sara Samir Abdel Megeed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891366514 PECOS PAC ID: 6204278567 Enrollment ID: I20240531002140 |
| Provider Name | Caleb Marsdon Harding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023474418 PECOS PAC ID: 6204371594 Enrollment ID: I20240710005304 |
| Provider Name | Jean Marie Veedock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417296542 PECOS PAC ID: 9931647724 Enrollment ID: I20240812001559 |
| Provider Name | Brenda S Holleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629200605 PECOS PAC ID: 5799223152 Enrollment ID: I20240815003694 |
| Provider Name | Victoria Morgan Rothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891344487 PECOS PAC ID: 8325568678 Enrollment ID: I20250218000853 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Infants, Children, Adults, Adolescents/juveniles, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Roxboro St, Durham, NC 27704 Phone: 919-201-0052 |