Individual provider Active NPI

Maria S. White, LCSW, LCAS

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1295982502
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005794 Issued in NC
Practice address
220 3Rd Ave W
Unit a
Hendersonville, NC 28739-4330
Phone
(828) 376-0055
Fax
(828) 376-0155
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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 C005794 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1752 NC

Addresses

Primary practice location

220 3Rd Ave W
Unit a
Hendersonville, NC 28739-4330

Mailing address

PO Box 1426
Hendersonville, NC 28793-1426
Phone (828) 376-0055

Other identifiers 1

IdentifierTypeStateIssuer
6007035MedicaidNC

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
I20081112000768 NC Practitioner - Clinical Social Worker 8729147285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 3Rd Ave W
Suite a
Hendersonville, NC 28739-4331
Phone (828) 376-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005794NCMDClinical Social Worker
1752NCMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Journeys, PLLC Addiction (Substance Use Disorder) CurrentSince Apr 10, 2012 Accepting new patients

Locations

220 3rd Ave W
Ste A
Hendersonville, NC 28739
Phone (828) 376-0055

Organizations & group practices 1

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1295982502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287931426",
            "telephone_number": "828-376-0055",
            "fax_number": "828-376-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 3RD AVE W",
            "address_2": "UNIT A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394330",
            "telephone_number": "828-376-0055",
            "fax_number": "828-376-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARIA",
        "middle_name": "S.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005794",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.