Tovakyshe Woullard, LCSWA. LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014453 Issued in NC

Practice address

700 N Cannon Blvd # 106
Kannapolis, NC 28083-3798

Phone

(980) 206-3722

NPI assigned

Apr 9, 2020

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Micum Health PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1376326850

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Rise Up Counseling & Consulting PLLC

  • Community/Behavioral Health Agency
  • Kannapolis, NC
  • NPI 1871033225
  NPD
• West Counseling

  dba West Counseling, PLLC

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1114271640
  NPD (past)
• In Truth Psychiatric Services LLC

  • Psychiatry Physician
  • Hiawassee, GA
  • NPI 1689342685
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1174142277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SCHOOL HOUSE CMNS # 174",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757510",
            "telephone_number": "704-639-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CANNON BLVD # 106",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833798",
            "telephone_number": "980-206-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 Concord Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252814",
            "country_code": "US",
            "telephone_number": "704-918-1343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Willimax Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547440",
            "country_code": "US",
            "telephone_number": "704-865-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOULLARD",
        "first_name": "TOVAKYSHE",
        "credential": "LCSWA. LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.