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JAMES M SUTTON LCSW
NPI 1942556543
Social Worker - Clinical in Raleigh, NC

Active since August 01, 2012PECOS EnrolledAccepts Medicare Assignment
3721 BENSON DR, RALEIGH, NC 27609(919) 335-4425(919) 629-2695 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2024, Mar 2, 2016 (2 updates tracked since 2016).

About James M Sutton Lcsw NPPES

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

JAMES M SUTTON LCSW (NPI 1942556543) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C007882) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942556543
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES M SUTTONCredential: LCSW
Location Address3721 BENSON DRRaleigh, NC 27609-7390
Mailing Address3721 Benson DriveRaleigh, NC 27609 · (919) 335-4425 · Fax (919) 629-2695
Phone(919) 335-4425
Fax(919) 629-2695
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 1, 2012
Last NPPES UpdateSeptember 7, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1942556543 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 · C007882
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.
3721 BENSON DR, Raleigh, NC 27609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James M Sutton Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012164338
PECOS Enrollment IDI20120821000976
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

ANDREW LEE ROBINSON LCMHCA
Counselor (Mental Health)
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 410-7858
CARLOS BELLO MS, LCMHC
Counselor (Mental Health)
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 275-0727
NEXT LEVEL COUNSELING, PLLC
Community/Behavioral Health
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 275-0727
JULIE LYNN HEUSTIS LCSW
Social Worker (Clinical)
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 747-4063
ZANDE BEHAVIORAL HEALTH SERVICES
Psychologist
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 872-3355
ROCKWELL, INC.
Exclusive Provider Organization
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 259-0756
DR. MICHAEL D ZANDE PH.D.
Psychologist
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 872-3355
PREFERRED RESOURCES LLC
Adult Companion
3721 BENSON DR
RALEIGH, NC 27609
Wake County (919) 348-9943

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 James Sutton's NPI number?

The NPI number for James Sutton is 1942556543. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is James Sutton located?

James Sutton practices at 3721 Benson Dr, Raleigh, NC 27609. The listed phone number is (919) 335-4425.

What is James Sutton's specialty?

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

Is James Sutton enrolled in Medicare?

Yes. James Sutton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Sutton accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Sutton 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 James Sutton was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.