Individual provider Active NPI

Kylie Rebecca Scolaro-Conti, LCSWA

  • Clinical Social Worker
  • Hayesville, NC
National Provider Identifier
1003226788
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014129 Issued in NC
Practice address
2180 Sweetwater Bend Rd
Hayesville, NC 28904-7740
Phone
(828) 389-9643
NPI assigned
May 2, 2014
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014129 NC Primary

Addresses

Primary practice location

2180 Sweetwater Bend Rd
Hayesville, NC 28904-7740

Mailing address

3535 Pelham Rd Ste 203
Greenville, SC 29615-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004782 NC Practitioner - Clinical Social Worker 8628568870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capeside Psychiatry PLLCGroup PAC ID 5991926560, 11 clinicians

Practice addresses (Care Compare)

311 Judges Rd
Suite 4E
Wilmington, NC 28405-3655
Phone (910) 791-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014129NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capeside Psychiatry, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

102 Elizabeth St
Ste D
Jacksonville, NC 28540

311 Judges Rd
Ste 4E
Wilmington, NC 28405
Phone 910791676724

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1003226788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PELHAM RD STE 203",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 SWEETWATER BEND RD",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047740",
            "telephone_number": "828-389-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLARO-CONTI",
        "first_name": "KYLIE",
        "middle_name": "REBECCA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.