Active NPI
Ebony Monique Presha, LCSWA
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1174979884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P015711
- Practice address
- 2129 Statesville Blvd
Salisbury, NC 28147-1411 - Phone
- (704) 633-3616
- NPI assigned
- May 11, 2016
- 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 | P015711 | NC | Primary |
Addresses
Primary practice location
2129 Statesville Blvd
Salisbury, NC 28147-1411
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone (866) 700-1606
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
| License | State | Type | Specialty |
|---|---|---|---|
| P015711 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Clinical | Past | Accepting new patients |
Interoperability endpoints
- ebony.presha.p1@direct.daymarkrecovery.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1174979884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471411",
"telephone_number": "704-633-3616"
}
],
"practiceLocations": [
{
"address_1": "5200 Park Rd Ste 218B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282093650",
"country_code": "US",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESHA",
"first_name": "EBONY",
"middle_name": "MONIQUE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
- Aaron Jospeh Post, MA
- Phyllis Post
- Kelly Poteat, PHARMD
- Maura Catherine Powers, DNP, FNP-BC
- Presbyterian Anesthesia Associates PA
- Cassidy Sierra Lillian Prewitt, MPH, MMS, PA-C
- Price Wellness Enterprises (Village Pharmacy)
- Terry Greig Price Jr., M.D.
- Primary Health Concepts, Inc. (Home Health Professionals)
- Primary Health Concepts, Inc. (Home Health Professionals)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.