Active NPI
Alvin D. Wilson, LCSW
- Clinical Social Worker
- Aberdeen, NC
National Provider Identifier
1013206705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006061
- Practice address
- 115 Ashleigh Blvd
Aberdeen, NC 28315 - Phone
- (910) 603-0845
- NPI assigned
- Apr 1, 2011
- Last updated
- Aug 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | C006061 | NC | Primary |
Addresses
Primary practice location
115 Ashleigh Blvd
Aberdeen, NC 28315
Mailing address
115 Ashleigh Blvd
Aberdeen, NC 28315-4185
Phone (910) 603-0845
Other practice location 1
1318 Raeford Rd
Fayetteville, NC 28305-5482
Phone (910) 485-6336
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Past | Accepting new patients |
| Paradigm Health Care Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Aberdeen, NC
- NPI 1518448075
-
dba Carolina Counseling Services
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
-
- Mental Health Counselor
- Largo, FL
- NPI 1336190495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1013206705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ASHLEIGH BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283154185",
"telephone_number": "910-603-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ASHLEIGH BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "28315",
"telephone_number": "910-603-0845"
}
],
"practiceLocations": [
{
"address_1": "1318 Raeford Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283055482",
"country_code": "US",
"telephone_number": "910-485-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ALVIN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.