Individual provider Active NPI

Carolyn G Craddock, MSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1215275201
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002856 Issued in NC
Practice address
334 Semmes Dr
Wilmington, NC 28412-7146
Phone
(910) 452-9543
NPI assigned
Jan 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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 C002856 NC Primary

Addresses

Primary practice location

334 Semmes Dr
Wilmington, NC 28412-7146

Mailing address

334 Semmes Dr
Wilmington, NC 28412-7146
Phone (910) 452-9543

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
I20141216002068 NC Practitioner - Clinical Social Worker 2062735418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1426 Navaho TRL
Unit 106
Wilmington, NC 28409-3325

1426 Navaho TRL Unit
Suite 106
Wilmington, NC 28409-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LCP Services NC PLLC CurrentSince Jan 1, 2022 Accepting new patients
Carolina Psychological and Psychiatric Health SRVS, PA Clinical CurrentSince Oct 11, 2025 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC Clinical PastSince Oct 11, 2025 Accepting new patients

Locations

8508 Park Rd
Charlotte, NC 28210
Phone (704) 516-5922

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

4000 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 792-5570

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": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1215275201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SEMMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127146",
            "telephone_number": "910-452-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SEMMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127146",
            "telephone_number": "910-452-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.