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MS. GWEN HILL HIGGINS LCSW
NPI 1972866739
Social Worker - Clinical in Pittsboro, NC

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
299 ROBERSON CREEK RD, PITTSBORO, NC 27312(919) 545-7407 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Nov 29, 2018 (2 updates tracked since 2018).

About Ms. Gwen Hill Higgins Lcsw NPPES

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

MS. GWEN HILL HIGGINS LCSW (NPI 1972866739) is an individual clinical provider in Pittsboro, North Carolina, licensed in North Carolina (C007524) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972866739
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GWEN HILL HIGGINSCredential: LCSW
Location Address299 ROBERSON CREEK RDPittsboro, NC 27312-8803
Mailing Address299 Roberson Creek RdPittsboro, NC 27312-8803 · (919) 260-0450
Phone(919) 545-7407
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 18, 2012
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1972866739 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 · C007524
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.
299 ROBERSON CREEK RD, Pittsboro, NC 27312
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Secondary Practice Location 1

Location 1607 Wicker StSanford, NC 27330-4151 · Phone (919) 545-7407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and more.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

Ms. Gwen Hill Higgins 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 ID9032455092
PECOS Enrollment IDI20190111001099
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27312 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.

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 Gwen Higgins's NPI number?

The NPI number for Gwen Higgins is 1972866739. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Gwen Higgins located?

Gwen Higgins practices at 299 Roberson Creek Rd, Pittsboro, NC 27312. The listed phone number is (919) 545-7407.

What is Gwen Higgins's specialty?

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

Is Gwen Higgins enrolled in Medicare?

Yes. Gwen Higgins 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 Gwen Higgins accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Gwen Higgins 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 Gwen Higgins was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.