Individual provider Active NPI

Anthony Lamont Hansley

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1326606385
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013498 Issued in NC
Practice address
1806 S 15TH St
Wilmington, NC 28401-6479
Phone
(910) 772-2515
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 P013498 NC Primary

Addresses

Primary practice location

1806 S 15TH St
Wilmington, NC 28401-6479

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 790-0187

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
I20260421003443 NC Practitioner - Clinical Social Worker 5092281550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Professional Counseling ServiceGroup PAC ID 2961865936, 5 clinicians

Practice addresses (Care Compare)

1606 Harbour Dr
Wilmington, NC 28401-7716
Phone (910) 399-1695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013498NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Professional Counseling Service Past Accepting new patients

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1326606385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-790-0187",
            "fax_number": "910-790-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S 15TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016479",
            "telephone_number": "910-772-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSLEY",
        "first_name": "ANTHONY",
        "middle_name": "LAMONT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.