LIFESOURCE OF NORTH CAROLINA – Clinical Social Worker, NPI 1093350647

LIFESOURCE OF NORTH CAROLINA is a healthcare provider. based in Atlanta, Georgia. specializing in Clinical Social Worker. The NPI Number for LIFESOURCE OF NORTH CAROLINA is 1093350647

Main info

Organization
Name
LIFESOURCE OF NORTH CAROLINA
NPI
1093350647
Phone
(910) 535-1211
Address
PO BOX 538622
Authorized Official
PEGGY BADDOUR PRESIDENT
Enumeration Date
7 November 2019
Last Update Date
25 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for LIFESOURCE OF NORTH CAROLINA

  • PO BOX 538622

    ATLANTA, GA 303538622

    Phone: (910) 535-1211

    Type: Mailing

  • 2900 W E ST

    NORTH PLATTE, NE 691011803

    Phone: (910) 742-9243

    Fax: (888) 746-1787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30353)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows LIFESOURCE OF NORTH CAROLINA across health systems?
The NPI 1093350647 uniquely identifies LIFESOURCE OF NORTH CAROLINA in U.S. healthcare data.
Is LIFESOURCE OF NORTH CAROLINA currently accepting referrals based on NPI status?
Registry metadata lists LIFESOURCE OF NORTH CAROLINA as active.
What does the directory say LIFESOURCE OF NORTH CAROLINA does?
Insurance directories may phrase it differently, but here LIFESOURCE OF NORTH CAROLINA maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LIFESOURCE OF NORTH CAROLINA?
LIFESOURCE OF NORTH CAROLINA is associated with Atlanta, Georgia in the same public data insurers reference.
Why is information missing for LIFESOURCE OF NORTH CAROLINA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

461 Walking Ln
NPI: 1063415909

CHARLENE SMILEY CRAFTON (LCSW)

Clinical Social Worker
635, Peyton Road Southwest, Atlanta, Georgia, 30311, United States
NPI: 1457351470

JENNIFER NOONAN (LCSW)

Clinical Social Worker
PO BOX 746715
NPI: 1386645331

DR. EUGENE HERRINGTON (PH.D)

Clinical Social Worker
60, Edwin Place Northwest, Grove Park, Simsville, Atlanta, Georgia, 30318, United States
NPI: 1427059856

RISA M. MANDELL (MSW)

Clinical Social Worker
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1962494096

BETH RUDEGEAIR (LCSW, CGP)

Group Psychotherapy Psychologist
Unitarian Universalist Congregation of Atlanta, 2650, North Druid Hills Road Northeast, Atlanta, DeKalb County, Georgia, 30329, United States
NPI: 1669466157

JOSETTE M SMITH (LCSW)

Clinical Social Worker
2217 ANGLER LN
NPI: 1033104450

JOYCE ANN MCLENDON (M.S.W., LCSW)

Clinical Social Worker
Lenox Road Northeast, Resurgens Plaza, Atlanta, Fulton County, Georgia, 30326, United States
NPI: 1841285285

MS. STACIE E FITZGERALD (LCSW)

Clinical Social Worker
1105 W. PEACHTREE STREET N.E.
NPI: 1205821188