MS. CARMELLIA THOMAS BUMGARDNER LCSW
NPI 1770633679
Social Worker - Clinical in Mount Airy, NC

Q: What is Carmellia Bumgardner's NPI number?

The NPI number for Carmellia Bumgardner is 1770633679. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Carmellia Bumgardner's specialty?

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

Active since January 11, 2007

95.02/100

CMS Quality Rating

351 RIVERSIDE DR, MOUNT AIRY, NC 27030(336) 786-7079(336) 786-6312 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Carmellia Thomas Bumgardner Lcsw NPPES

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

MS. CARMELLIA THOMAS BUMGARDNER LCSW (NPI 1770633679) is an individual clinical provider in Mount Airy, North Carolina, licensed in North Carolina (C004066) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1770633679

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. CARMELLIA THOMAS BUMGARDNERCredential: LCSW

Location Address351 RIVERSIDE DRMount Airy, NC 27030-3850

Mailing Address284 Executive Park Drive, Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173

Phone(336) 786-7079

Fax(336) 786-6312

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateMay 26, 2017

✔ NPI 1770633679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C004066

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.

351 RIVERSIDE DR, Mount Airy, NC 27030

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Other Identifiers 1

Medicaid6003123NC

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.09

Promoting Interoperability

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 11

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

NEW RIVER SERVICE AUTHORITY

Community/Behavioral Health

351 RIVERSIDE DR, SUITE 100
MOUNT AIRY, NC 27030

Surry County (336) 783-0357

MS. MICHELLE RENEE BUTLER FNP-BC

Nurse Practitioner

351 RIVERSIDE DR
MOUNT AIRY, NC 27030

Surry County (336) 786-7079

TRIUMPH LLC

Marriage & Family Therapist

351 RIVERSIDE DR, SUITE 100
MOUNT AIRY, NC 27030

Surry County (336) 783-6919

MR. JEFFERY BRYANT EADS LPC

Counselor (Mental Health)

351 RIVERSIDE DR
MOUNT AIRY, NC 27030

Surry County (336) 786-7079

CYNTHIA CABANISS

Counselor (Professional)

351 RIVERSIDE DR
MOUNT AIRY, NC 27030

Surry County (336) 783-6919

MS. TONYA CAROL OAKLEY M.A.,L.M.F.T

Marriage & Family Therapist

351 RIVERSIDE DR
MOUNT AIRY, NC 27030

Surry County (336) 786-7079

BEVERLY JO BROOKS

Social Worker (Clinical)

351 RIVERSIDE DR
MT AIRY, NC 27030

Surry County (336) 783-6919

TRIUMPH LLC

Community/Behavioral Health

351 RIVERSIDE DR, SUITE 100
MOUNT AIRY, NC 27030

Surry County (336) 783-6919

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 Carmellia Bumgardner's NPI number?

The NPI number for Carmellia Bumgardner is 1770633679. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Carmellia Bumgardner located?

Carmellia Bumgardner practices at 351 Riverside Dr, Mount Airy, NC 27030. The listed phone number is (336) 786-7079.

What is Carmellia Bumgardner's specialty?

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

When was this NPI record last updated?

The NPPES record for Carmellia Bumgardner was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.