Individual provider Active NPI

Faye Wilkes, LCSWA

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1184464125
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020613 Issued in NC
Practice address
137 E Franklin St Ste 630
Chapel Hill, NC 27514-3620
Phone
(919) 886-4052
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 P020613 NC Primary

Addresses

Primary practice location

137 E Franklin St Ste 630
Chapel Hill, NC 27514-3620

Mailing address

5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462
Phone (919) 886-4052

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

LicenseStateTypeSpecialty
P020613NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Third Wave Psychotherapy, PLLC Clinical CurrentSince Jun 2, 2024 Accepting new patients

Locations

5401 Six Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 704-8449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1184464125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094462",
            "telephone_number": "919-886-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E FRANKLIN ST STE 630",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275143620",
            "telephone_number": "919-886-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "FAYE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.