Eva Church, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016526 Issued in NC

Practice address

2206A Wrightsville Ave
Wilmington, NC 28403-2406

Phone

(910) 763-6499

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Reflect Therapy and Wellness, PLLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1295597177
  Medicare reassignment NPD Authorized official
• Port Health Services

  • Counselor
  • Greenville, NC
  • NPI 1497075618
  Medicare reassignment NPD
• Port Health Services

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1174005789
  NPD
• Port Health Services

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1730505470
  NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1306593884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 OLEANDER DR APT C6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034064",
            "telephone_number": "919-923-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206A WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032406",
            "telephone_number": "910-763-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Oleander Dr Apt C6",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034064",
            "country_code": "US",
            "telephone_number": "919-923-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "EVA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Home Care LLC
• Sarah Chudacek
• Mia Gabrielle Chung
• Jeffrey Scott Church, M.D.
• Celeste M Cianciulli, LCSW
• Sonya Jean Ciancutti, LCSW
• Dominic Ciccocioppo
• Maria Cillo, M.S. CCC-SLP

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Jan 30, 2024; 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.