Organization Active NPI

Chriss Benay Wetherington

  • Clinical Social Worker
  • Arden, NC
National Provider Identifier
1124536164
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010554 Issued in NC
Legal business name
CHRISS BENAY WETHERINGTON
Practice address
1 Covewood CT
Arden, NC 28704-3011
Phone
(305) 742-1377
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Chriss Benay Wetherington
Title
Owner/Therapist
Phone
(828) 691-4538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C010554 NC Primary

Addresses

Primary practice location

1 Covewood CT
Arden, NC 28704-3011

Mailing address

1 Covewood Court
Arden, NC 28704
Phone (305) 742-1377

Other identifiers 1

IdentifierTypeStateIssuer
1811374366MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1124536164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COVEWOOD COURT",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "28704",
            "telephone_number": "305-742-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COVEWOOD CT",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287043011",
            "telephone_number": "305-742-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISS BENAY WETHERINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "WETHERINGTON",
        "authorized_official_first_name": "CHRISS",
        "authorized_official_middle_name": "BENAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "828-691-4538"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811374366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.