Individual provider Active NPI

Bethany Thomas Shingleton, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1003363680
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012663 Issued in NC
Practice address
77 Mitchell Ave
Asheville, NC 28806-2742
Phone
(287) 138-9308
Fax
(828) 348-5739
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X C012663 NC Primary

Addresses

Primary practice location

77 Mitchell Ave
Asheville, NC 28806-2742

Mailing address

25 Hayes Cove Rd
Leicester, NC 28748-5116
Phone (252) 236-5189

Other practice location 1

25 Hayes Cove Rd
Leicester, NC 28748-5116
Phone (252) 236-5189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C012663NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Ford Counseling and Consulting PLLC PastSince Sep 6, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1003363680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HAYES COVE RD",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287485116",
            "telephone_number": "252-236-5189",
            "fax_number": "828-348-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MITCHELL AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062742",
            "telephone_number": "287-138-9308",
            "fax_number": "828-348-5739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hayes Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Leicester",
            "state": "NC",
            "postal_code": "287485116",
            "country_code": "US",
            "telephone_number": "252-236-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINGLETON",
        "first_name": "BETHANY",
        "middle_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.