Individual provider Active NPI

Miranda Gresko Earley

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1043825680
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015936 Issued in NC
Practice address
711 New Leicester Hwy
Asheville, NC 28806-1048
Phone
(828) 254-5356
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C015936 NC
Clinical Social Worker 1041C0700X C015936 NC Primary

Addresses

Primary practice location

711 New Leicester Hwy
Asheville, NC 28806-1048

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

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
I20231129002340 NC Practitioner - Clinical Social Worker 1658729785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Oct 18, 2023 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Oct 18, 2023 Accepting new patients

Locations

711 New Leicester Hwy
Asheville, NC 28806
Phone (828) 253-3717

141 Asheland Ave
Ste 300
Asheville, NC 28801
Phone (828) 350-1880

77 McDowell St
Asheville, NC 28801
Phone (828) 257-4745

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1043825680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NEW LEICESTER HWY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061048",
            "telephone_number": "828-254-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "MIRANDA",
        "middle_name": "GRESKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "C015936",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.