Active NPI
Theresa Lynn Fosmire, LCSW
- Clinical Social Worker
- Hendersonville, NC
National Provider Identifier
1063463693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002319
- Practice address
- 711 S Grove St Ste B
Hendersonville, NC 28792-5791 - Phone
- (828) 692-7300
- Fax
- (828) 692-7710
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 | C002319 | NC | Primary |
Addresses
Primary practice location
711 S Grove St Ste B
Hendersonville, NC 28792-5791
Mailing address
PO Box 2272
Hendersonville, NC 28793-2272
Phone (828) 692-7300
Other practice location 1
110 Williams St
Hendersonville, NC 28792-4543
Phone (828) 692-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002699 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090624000526 | NC | Practitioner - Clinical Social Worker | 2860543238 | Practice locations: Hendersonville, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of South Carolina School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
711 S Grove St
Suite B
Hendersonville, NC 28792-5791
Phone (828) 692-7300
P O Box
Suite 2272
Hendersonville, NC 28793-2272
PO Box
Suite 2272
Hendersonville, NC 28793-2272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002319 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Counseling Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1063463693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2272",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287932272",
"telephone_number": "828-692-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S GROVE ST STE B",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925791",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710"
}
],
"practiceLocations": [
{
"address_1": "110 Williams St",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287924543",
"country_code": "US",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSMIRE",
"first_name": "THERESA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002699",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
- Constance Paola Fontanet
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Albert Shederick Ford Jr., MD
- Forsyth Medical Group, LLC
- Forsyth Medical Group, LLC
- Pamela Griffin Foster, R.D.
- Fostering Real Change Counseling Services, Inc.
- Four Seasons Womens Medical Center
- Emily Brooke Fowler, PA-C
- Kalyn Hope Fowler, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.