Individual provider Active NPI

Autumn Jean Littlebrant, LCSW

  • Clinical Social Worker
  • Supply, NC
National Provider Identifier
1184358731
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017687 Issued in NC
Practice address
610 Ocean Hwy W
Supply, NC 28462-4048
Phone
(910) 253-5885
NPI assigned
Jul 11, 2022
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 P017687 NC Primary

Addresses

Primary practice location

610 Ocean Hwy W
Supply, NC 28462-4048

Mailing address

PO Box 281
Bolivia, NC 28422-0281
Phone (910) 253-5885

Other names 1

  • Autumn Jean Atwell 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
I20250905000934 NC Practitioner - Clinical Social Worker 7911409339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moving Ahead Counseling ServicesGroup PAC ID 7911369327, 6 clinicians

Practice addresses (Care Compare)

610 Ocean Hwy W
Supply, NC 28462-4048
Phone (910) 253-5885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017687NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Ahead Counseling Services Clinical CurrentSince Apr 26, 2025 Accepting new patients

Locations

610 Ocean Hwy W
Supply, NC 28462
Phone (910) 253-5885

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1184358731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220281",
            "telephone_number": "910-253-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624048",
            "telephone_number": "910-253-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEBRANT",
        "first_name": "AUTUMN",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "ATWELL",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.