Individual provider Active NPI

Brittani Elaine Wilson, LCSW

  • Clinical Social Worker
  • Mocksville, NC
National Provider Identifier
1073860326
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010082 Issued in NC
Practice address
3437 US Highway 601 N
Mocksville, NC 27028-6259
Phone
(336) 751-3181
Fax
(336) 751-3308
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010082 NC Primary
Child Abuse Pediatrics Physician 2080C0008X

Addresses

Primary practice location

3437 US Highway 601 N
Mocksville, NC 27028-6259

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907

Other practice location 1

387 Valley Rd
Mocksville, NC 27028-2080
Phone (336) 753-6155

Other practice location 2

192 Thousand Trails Dr
Advance, NC 27006-7082
Phone (501) 850-9023

Other names 1

  • Brittani Tester Former name

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
I20240815004672 NC Practitioner - Clinical Social Worker 2466990841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Aug 12, 2024 Accepting new patients
Dragonfly House Childrens Advocacy Center, Inc. Child Abuse Pediatrics CurrentSince Apr 1, 2023 Accepting new patients

Locations

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

387 Valley Rd
Mocksville, NC 27028
Phone (336) 753-6155

3437 US Highway 601 N
Mocksville, NC 27028
Phone (336) 492-5421

Interoperability endpoints

  • Direct secure messaging: bwilson727839@direct.ochin.org

Organizations & group practices 4

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1073860326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 US HIGHWAY 601 N",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270286259",
            "telephone_number": "336-751-3181",
            "fax_number": "336-751-3308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282080",
            "country_code": "US",
            "telephone_number": "336-753-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Thousand Trails Dr",
            "address_purpose": "LOCATION",
            "city": "Advance",
            "state": "NC",
            "postal_code": "270067082",
            "country_code": "US",
            "telephone_number": "501-850-9023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRITTANI",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010082",
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANI",
            "last_name": "TESTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mocksville, NC

Sources for this page

Verify at the official NPI Registry.