Individual provider Active NPI

Alison Fennell, LMSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1205554649
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017132 Issued in NC
Practice address
4909 Waters Edge Dr
Raleigh, NC 27606-2849
Phone
(919) 589-2196
Fax
(919) 578-8745
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 C017132 NC Primary

Addresses

Primary practice location

4909 Waters Edge Dr
Raleigh, NC 27606-2849

Mailing address

PO Box 128
Elk Creek, VA 24326-0128
Phone (919) 589-2196

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
I20240606003568 NC Practitioner - Clinical Social Worker 7911449822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

3000 Highwoods Blvd
Suite 1000
Raleigh, NC 27604-1027
Phone (919) 338-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017132NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Nov 5, 2025 Accepting new patients
Dragonfly Counseling, PLLC Mental Health PastSince Nov 18, 2025 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

Interoperability endpoints

  • Direct secure messaging: alison.fennell.1@25899.direct.athenahealth.com

Organizations & group practices 3

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1205554649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "ELK CREEK",
            "state": "VA",
            "postal_code": "243260128",
            "telephone_number": "919-589-2196",
            "fax_number": "919-578-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062849",
            "telephone_number": "919-589-2196",
            "fax_number": "919-578-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "ALISON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.