Lifesource of North Carolina
NPI 1972131308 · Clinical Social Worker · Bloomfield, CT
Lifesource of North Carolina is a Clinical Social Worker organization in Bloomfield, CT (NPI 1972131308).
Provider details
- NPI number
- 1972131308
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Peggy Baddour, President(910) 777-9165
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Frequently asked questions
- What is Lifesource of North Carolina's NPI number?
- Lifesource of North Carolina's National Provider Identifier (NPI) is 1972131308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesource of North Carolina?
- Lifesource of North Carolina is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lifesource of North Carolina located?
- Lifesource of North Carolina's practice location on file with NPPES is 140 Park Ave, Bloomfield, CT 06002-3207.
- What is Lifesource of North Carolina's phone number?
- The practice phone number listed in the NPPES registry for Lifesource of North Carolina is (910) 742-9243.
- Who is the authorized official for Lifesource of North Carolina?
- The authorized official listed on Lifesource of North Carolina's NPPES record is Peggy Baddour, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesource of North Carolina's NPI active?
- Yes — Lifesource of North Carolina's NPI (1972131308) is active in the NPPES registry as of the last update on 2021-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.