BLUE LOTUS HEALING CENTER, LLC (NPI# 1922206416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922206416 |
| Entity Type | Organization |
| Organization Name | BLUE LOTUS HEALING CENTER, LLC |
| Practice Address |
8838 Us Highway 70 W Suite 200c Clayton NC 27520-4822 |
| Mailing Address |
Po Box 1831 Clayton NC 27528-1831 |
| Practice Telephone | 9199468644 |
| Practice Fax Number | 9195502913 |
| Mailing Telephone | 9199468644 |
| Mailing Fax Number | 9193639971 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | NIVIEN IBRAHIM (OWNER) |
| Authorized Official Telephone | 9199468644 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C004122 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1415Y | 01 |
| NC | 6106317 | 05 |
| Street Address |
8838 US HIGHWAY 70 W SUITE 200C |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818982 | Michael Robert Moreland | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2006-04-03 |
| 1538706544 | Loving Hands Unlimited Corp | Home Health | 8838 Us Highway 70 W, Clayton, NC 27520-4822 | 2019-12-09 |
| 1861861593 | Tim Passerell | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2015-09-23 |
| 1023424298 | Britanee Zebrosky | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2014-07-08 |
| 1336582105 | Sara Elizabeth Prokup | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2013-04-11 |
| 1033469143 | Jacob Fox | Specialist/Technologist | 8838 Us Highway 70 W, Suite 700, Clayton, NC 27520-4822 | 2012-09-17 |
| 1003104654 | Kiersten Flynn | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2011-07-18 |
| 1932388832 | Megan Marie Murphy | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2007-10-26 |
| 1518166560 | Clayton Chiropractic Center, P.a. | Chiropractor | 8838 Us Highway 70 W, Suite 700, Clayton, NC 27520-4822 | 2007-07-11 |
| 1235341298 | Jason J Nackley | Chiropractor | 8838 Us Highway 70 W, Suite 700, Clayton, NC 27520-4822 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| 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 |
|---|---|---|---|---|
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1326669102 | Emily Painter | Social Worker | 408 Hardaway Pt, Clayton, NC 27527-5572 | 2020-05-03 |
| 1740810027 | River Ease Psychotherapy Services | Social Worker | 125 State St Ste 1, Clayton, NY 13624-1355 | 2020-01-25 |
| 1497398804 | Jonathan I Graham | Social Worker | 6454 Alamo Ave Apt 1w, Clayton, MO 63105-3155 | 2019-10-18 |
| 1841847738 | Allegra D Grawer | Social Worker | 8000 Bonhomme Ave Ste 412, Clayton, MO 63105-3515 | 2019-08-24 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| 1629516075 | Nakunda Mccoy Everett | Social Worker | 60 Buckleigh Dr, Clayton, NC 27527-6612 | 2017-02-06 |
| 1639622178 | Jodi Fletcher | Social Worker | 5904 Millington Rd, Clayton, DE 19938-2558 | 2016-08-02 |
| 1144672601 | Shawnee Palmer | Social Worker | 141 N Meramec Ave Ste 109, Clayton, MO 63105-3750 | 2016-07-08 |
| Find all providers in CLAYTON | ||||
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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.