Individual provider Active NPI

Elisabeth Troy, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1003480419
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017002 Issued in NC
Practice address
1209 Culbreth Dr Ste 209
Wilmington, NC 28405-4559
Phone
(910) 510-2286
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 C017002 NC Primary

Addresses

Primary practice location

1209 Culbreth Dr Ste 209
Wilmington, NC 28405-4559

Mailing address

1209 Culbreth Dr Ste 209
Wilmington, NC 28405-4559
Phone (910) 510-2286

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
I20260512001486 NC Practitioner - Clinical Social Worker 3173961299 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Wilmington, NC 28405
Phone (609) 213-3937

1209 Culbreth Dr
Suite 209
Wilmington, NC 28405-3639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017002NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Minds PLLC Clinical Current Accepting new patients

Locations

1209 Culbreth Dr
Ste 209
Wilmington, NC 28405
Phone (910) 510-2286

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1003480419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR STE 209",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054559",
            "telephone_number": "910-510-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR STE 209",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054559",
            "telephone_number": "910-510-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "ELISABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.