Active NPI
Michael David Neidig, LCSW, LCAS
- Clinical Social Worker
- Highlands, NC
National Provider Identifier
1013112879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001567
- Practice address
- 50 Emerald LN
Highlands, NC 28741-8891 - Phone
- (828) 524-3268
- Fax
- (828) 349-6039
- NPI assigned
- Jun 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001567 | NC | Primary |
Addresses
Primary practice location
50 Emerald LN
Highlands, NC 28741-8891
Mailing address
50 Emerald LN
Highlands, NC 28741-8891
Phone (828) 524-3268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003099 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001567 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smoky Mountain Center for MH/DD/Sas | Past | Accepting new patients | |
| Mountain Youth Resources, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Waynesville, NC
- NPI 1346388782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013112879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 EMERALD LN",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "287418891",
"telephone_number": "828-524-3268",
"fax_number": "828-349-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 EMERALD LN",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "287418891",
"telephone_number": "828-524-3268",
"fax_number": "828-349-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDIG",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003099",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands, NC
- Mission Medical Associates Inc. (Mission Weight Management Center)
- Mission Medical Associates, Inc (Mission Behavioral Health-Highlands)
- Mission Medical Associates, Inc. (Asheville Cardiology Associates - Highlands)
- Pamela S Moore, LCSW
- My Choice Home Care LLC
- Ellen Nolan, APRN
- Paul Richard Olson, MD
- Plateau Fitness, PLLC (Aery Chiropractic & Acupuncture)
- Martin Johann Pontasch, MD
- Audrey Powell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.