Beverly A Wicker, LCSW, LCAS, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006796 Issued in NC

Practice address

201 Shannon Oaks Cir Ste 200
Cary, NC 27511

Phone

(919) 415-4244

Fax

(877) 600-5440

NPI assigned

May 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Solo Behavioral Health Services PLLC

  • Community/Behavioral Health Agency
  • Sanford, NC
  • NPI 1699283663

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1245558154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304206",
            "telephone_number": "919-774-1131",
            "fax_number": "877-600-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHANNON OAKS CIR STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-415-4244",
            "fax_number": "877-600-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Shannon Oaks Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115570",
            "country_code": "US",
            "telephone_number": "919-415-4244",
            "fax_number": "877-600-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Bracken St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273303925",
            "country_code": "US",
            "telephone_number": "919-415-4244",
            "fax_number": "877-600-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Shannon Oaks Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115570",
            "country_code": "US",
            "telephone_number": "919-415-4244",
            "fax_number": "877-600-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2039",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whole Health Solutions
• Whole Life Therapeutics, PLLC
• Wholeheartedly Daring, PLLC
• Wholesome Words Speech Therapy PLLC
• David Whorton, OTR/L
• Elizabeth Wickham, PT, DPT
• Mya Wickham
• Olivia Anne Wicki
• Widrick Occupational Therapy Services, PLLC
• Danielle Widrick, PTA

• Clinical Social Worker in Cary, NC
• Providers in Cary, 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 Sep 6, 2018; 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.

Verify at the official NPI Registry.