Individual provider Active NPI

Alyssa Renea German, LCSW-A

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1073388260
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019971 Issued in NC
Practice address
725 Wellington Ave
Wilmington, NC 28401-7652
Phone
(910) 392-4881
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P019971 NC Primary

Addresses

Primary practice location

725 Wellington Ave
Wilmington, NC 28401-7652

Mailing address

1222 Saint Augustine Dr
Castle Hayne, NC 28429-6159
Phone (304) 951-1158

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P019971NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1073388260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SAINT AUGUSTINE DR",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296159",
            "telephone_number": "304-951-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017652",
            "telephone_number": "910-392-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "ALYSSA",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.