Tidewater Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIDEWATER COUNSELING PLLC

Practice address

5126 Chalk St
Morehead City, NC 28557-2559

Phone

(252) 229-9053

Fax

(252) 648-8381

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Campbell Wheeler, MSW, LCSWNPI 1013097898

Title

Licensed Clinical Social Worker

Phone

(252) 229-9053

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Campbell Wheeler, MSW, LCSW

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1013097898
  NPD (past) Authorized official

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1205155108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 CHALK ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572559",
            "telephone_number": "252-229-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 CHALK ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572559",
            "telephone_number": "252-229-9053",
            "fax_number": "252-648-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "252-229-9053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kossi Kekle Tete, MD
• The Better Health Store
• The Broad Street Clinic Foundation
• Lauren Uzzell Thomas, PA-C
• Morgan Cartwright Thompson, CRNA, DNP
• Samantha Jane Tobin, OT
• Gregory P Tokarsky, MD
• Elizabeth Toler
• Hannah Fowler Tolley, LCSWA
• Town of Morehead City

• Clinical Social Worker in Morehead City, NC
• Providers in Morehead City, 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 Jul 8, 2011; 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.