LIFESOURCE OF NORTH CAROLINA
NPI 1649877762
Social Worker - Clinical in Menominee, MI

Q: What is Lifesource Of North Carolina's NPI number?

The NPI number for Lifesource Of North Carolina is 1649877762. It was assigned to this organization in the NPPES registry on October 1, 2020.

Q: 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.

Active since October 01, 2020

501 2ND ST, MENOMINEE, MI 49858(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2021, Oct 1, 2020 (2 updates tracked since 2020).

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About Lifesource Of North Carolina NPPES

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

LIFESOURCE OF NORTH CAROLINA (NPI 1649877762) is a healthcare organization registered as a clinical in Menominee, Michigan and active in the NPI registry since October 2020. The organization lists Peggy Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1649877762

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameLIFESOURCE OF NORTH CAROLINA

Location Address501 2ND STMenominee, MI 49858-3203

Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 742-9243 · Fax (888) 746-1787

Phone(910) 742-9243

Fax(888) 746-1787

Organization SubpartNo

Authorized OfficialPeggy BaddourPresident · (910) 338-2882

Enumeration DateOctober 1, 2020

Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1649877762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

501 2ND ST, Menominee, MI 49858

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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

Other Providers at the Same Location NPPES 5

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

AMANDA CHAMPAGNE

Physical Therapy Assistant