Individual provider Active NPI

Michael Jason Wesson, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1013203041
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007273 Issued in NC
Practice address
5475 Lumley Rd
Ste 101
Durham, NC 27703-7717
Phone
(919) 405-7200
Fax
(919) 405-7266
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1728 NC
Clinical Social Worker 1041C0700X C007273 NC Primary

Addresses

Primary practice location

5475 Lumley Rd
Ste 101
Durham, NC 27703-7717

Mailing address

5475 Lumley Rd
Ste 101
Durham, NC 27703-7717
Phone (919) 405-7200

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
I20120614000350 NC Practitioner - Clinical Social Worker 6204090640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 S Estes Dr
Suite 201
Chapel Hill, NC 27514-2866
Phone (919) 270-1782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007273NCMDClinical Social Worker
1728NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Get Your Head Straight Psychotherapy, PLLC Clinical CurrentSince Oct 8, 2019 Accepting new patients
Top Priority Care Services, LLC Past Accepting new patients

Locations

104 S Estes Dr
Ste 201
Chapel Hill, NC 27514
Phone (919) 270-1782

960 Corporate Dr
Ste 102
Hillsborough, NC 27278
Phone (919) 270-1782

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1013203041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 LUMLEY RD",
            "address_2": "STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037717",
            "telephone_number": "919-405-7200",
            "fax_number": "919-405-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 LUMLEY RD",
            "address_2": "STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037717",
            "telephone_number": "919-405-7200",
            "fax_number": "919-405-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSON",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1728",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.