CHRISTINE SUSAN MAIN (NPI# 1134478191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134478191 |
| Entity Type | Individual |
| Full Name | CHRISTINE SUSAN MAIN |
| Credential | LCSW, LCAS |
| Practice Address |
2003 Godwin Ave Suite A Lumberton NC 28358-3149 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 9107398849 |
| Practice Fax Number | 9107393197 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2083 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007922 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | C007922 | 01 |
| NC | LICENSE | 2083 | 01 |
| Street Address |
2003 GODWIN AVE SUITE A |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067695 | Julie P. Dowless | Nurse Practitioner | 2003 Godwin Ave, Suite B, Lumberton, NC 28358-3149 | 2006-03-15 |
| 1144874348 | Lindsey Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-07-26 |
| 1508322884 | Tammy Sampson | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-02-12 |
| 1962998500 | Candace Melvin | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2018-07-06 |
| 1508387994 | Eva Lynn Lowery | Social Worker | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-07-06 |
| 1861939076 | Samantha Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-01-25 |
| 1619330453 | Mary Gerideau | Social Worker | 2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 | 2016-03-30 |
| 1144689837 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 2003 Godwin Ave, Ste A, Lumberton, NC 28358-3149 | 2016-02-23 |
| 1548626179 | Yniquekeyah Mole | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2016-01-12 |
| 1245603323 | Corey Christopher Winston | Social Worker | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3149 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1164086567 | Ashley Mechelle Prows-beard | Social Worker | 800 N Walnut St, Lumberton, NC 28358-4832 | 2019-05-01 |
| 1477080661 | Carmelita Tiburcio Bigelow | Social Worker | 4719 Fayetteville Rd, Lumberton, NC 28358-2113 | 2017-05-18 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1083033880 | Omekio Riggins | Social Worker | 1406 E 11th St, Lumberton, NC 28358-5000 | 2014-04-09 |
| 1710310131 | Kanesha Rashal Brown | Social Worker | 220 Liberty Hill Rd, Lumberton, NC 28358-2442 | 2013-08-21 |
| 1346589355 | Suzanne M. Gable | Social Worker | 16 Livingston Ln, Lumberton, NJ 08048-6210 | 2013-02-11 |
| 1275880759 | Jlarue, Pllc | Social Worker | 103 Red Oak Ct, Lumberton, NC 28358-1112 | 2012-08-14 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.