Individual provider Active NPI

Meredith Staley, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1245722503
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012676 Issued in NC
Practice address
5030 Peters Creek Pkwy # 1028
Winston Salem, NC 27127-7276
Phone
(910) 821-3260
NPI assigned
Jun 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 C012676 NC Primary

Addresses

Primary practice location

5030 Peters Creek Pkwy # 1028
Winston Salem, NC 27127-7276

Mailing address

5030 Peters Creek Pkwy # 1028
Winston Salem, NC 27127-7276
Phone (910) 821-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C012676NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All Ears Counseling, PLLC Clinical CurrentSince Jul 1, 2021 Accepting new patients
The Bair Foundation Past Accepting new patients

Locations

4100 Sunglow Dr
Wilmington, NC 28405
Phone (910) 338-5258

5030 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 771-7672

Organizations & group practices 2

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": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1245722503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 PETERS CREEK PKWY # 1028",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277276",
            "telephone_number": "910-821-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 PETERS CREEK PKWY # 1028",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277276",
            "telephone_number": "910-821-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "MEREDITH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.