Active NPI
Alison Fennell, LMSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1205554649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017132
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C017132 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Clinical | Current | Accepting new patients |
| Dragonfly Counseling, PLLC | Mental Health | Past | Accepting new patients |
Locations
2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316
Interoperability endpoints
- 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.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1003303082
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1891372702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.