LIFESOURCE OF NORTH CAROLINA
NPI 1619515277
Social Worker - Clinical in Holland, OH

Active since December 13, 2019
1525 EBER RD, HOLLAND, OH 43528(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2024, Nov 24, 2021, Mar 25, 2021 and 1 more (4 updates tracked since 2019).

About Lifesource Of North Carolina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESOURCE OF NORTH CAROLINA (NPI 1619515277) is a healthcare organization registered as a clinical in Holland, Ohio and active in the NPI registry since December 2019. The organization lists Peggy Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1619515277
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address1525 EBER RDHolland, OH 43528-9616
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 535-1211 · Fax (919) 746-7603
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy BaddourPresident · (910) 777-9165
Enumeration DateDecember 13, 2019
Last NPPES UpdateApril 10, 20244 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
NPI 1619515277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1525 EBER RD, Holland, OH 43528

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1525 EBER RD
HOLLAND, OH 43528
Physical Therapy Assistant
1525 EBER RD
HOLLAND, OH 43528
Occupational Therapist
1525 EBER RD
HOLLAND, OH 43528
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1525 EBER RD
HOLLAND, OH 43528
Clinic/Center (Physical Therapy)
1525 EBER RD
HOLLAND, OH 43528
Speech-Language Pathologist
1525 EBER RD
HOLLAND, OH 43528
Intermediate Care Facility, Intellectual Disabilities
1525 EBER RD
HOLLAND, OH 43528
Intermediate Care Facility, Intellectual Disabilities
1525 EBER RD
HOLLAND, OH 43528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifesource Of North Carolina's NPI number?

The NPI number for Lifesource Of North Carolina is 1619515277. It was assigned to this organization in the NPPES registry on December 13, 2019.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 1525 Eber Rd, Holland, OH 43528. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Lifesource Of North Carolina accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Lifesource Of North Carolina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifesource Of North Carolina was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.