Individual provider Active NPI

Melissa J Morrissette-Hurst, LCSWA

  • Clinical Social Worker
  • Clemmons, NC
National Provider Identifier
1326918764
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021359 Issued in NC
Practice address
2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927
Phone
(336) 283-2510
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 P021359 NC Primary

Addresses

Primary practice location

2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927

Mailing address

PO Box 1417
Clemmons, NC 27012-1417
Phone (336) 283-2510

Other identifiers 1

IdentifierTypeStateIssuer
1326918764MedicaidNC

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
P021359NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Forsyth Pain Management CurrentSince Nov 18, 2025 Accepting new patients
Achieving Changes Counseling Services, PLLC Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

2554 Lewisville Clemmons Rd
Ste 112
Clemmons, NC 27012
Phone (336) 283-2510

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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1326918764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121417",
            "telephone_number": "336-283-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD STE 112",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129927",
            "telephone_number": "336-283-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSETTE-HURST",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326918764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.