Individual provider Active NPI

Corey Christopher Winston, LCSW,LCASA,CCSOTS

  • Clinical Social Worker
  • Lumberton, NC
National Provider Identifier
1245603323
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010981 Issued in NC
Practice address
2003 Godwin Ave
Suite a
Lumberton, NC 28358-3149
Phone
(910) 739-8849
Fax
(910) 739-8698
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010981 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21962 NC

Addresses

Primary practice location

2003 Godwin Ave
Suite a
Lumberton, NC 28358-3149

Mailing address

2003 Godwin Ave
Suite a
Lumberton, NC 28358-3149
Phone (910) 739-8849

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
I20180214002908 NC Practitioner - Clinical Social Worker 7315207206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunflowers Wellness Therapeutic Services PLLCGroup PAC ID 6608238571, 2 clinicians

Practice addresses (Care Compare)

910 Hope Mills Rd
Fayetteville, NC 28304-4243
Phone (910) 759-5771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-21962NCMDAddiction (Substance Use Disorder) Counselor
C010981NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflowers Wellness Therapeutic Services PLLC Addiction (Substance Use Disorder) CurrentSince Jun 11, 2023 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Dec 14, 2017 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Dec 14, 2017 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Biblical Counseling Services CurrentSince Sep 3, 2018 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

901 Arsenal Ave
Ste 202
Fayetteville, NC 28305
Phone (910) 323-3368

910 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 684-3595

2003 Godwin Ave
Ste A
Lumberton, NC 28358
Phone (910) 739-8849

Organizations & group practices 5

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": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1245603323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583149",
            "telephone_number": "910-739-8849",
            "fax_number": "910-739-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583149",
            "telephone_number": "910-739-8849",
            "fax_number": "910-739-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "COREY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW,LCASA,CCSOTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010981",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.