Organization Active NPI

Edgestone, PLLC

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1003589052
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EDGESTONE, PLLC
Practice address
12 Ravenscroft Dr
Asheville, NC 28801-3637
Phone
(828) 424-4733
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Will Ray, MA, LCSW
Title
Owner, Psychotherapist
Phone
(828) 424-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12 Ravenscroft Dr
Asheville, NC 28801-3637

Mailing address

81 Spooks Branch Rd
Asheville, NC 28804-2741

Other identifiers 1

IdentifierTypeStateIssuer
6007765MedicaidNC

Other names 1

  • Edgestone, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

12 Ravenscroft Dr
Asheville, NC 28801
Phone (828) 275-5262

5 Ravenscroft Dr
Ste 201
Asheville, NC 28801
Phone (828) 424-4733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1003589052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SPOOKS BRANCH RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RAVENSCROFT DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013637",
            "telephone_number": "828-424-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGESTONE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "828-424-4733",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgestone, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Edgestone, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 17, 2023; 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.