Michelle Carter Thrailkill, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003030 Issued in NC

Practice address

2706 Medical Office PL
Goldsboro, NC 27534-9460

Phone

(919) 734-4736

Fax

(919) 580-1017

NPI assigned

Sep 28, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mthrailkill@goldsboropedsbh.medentdirect.com

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.

• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524
  NPD (past)
• Goldsboro Pediatrics PA

  • Pediatrics Physician
  • Goldsboro, NC
  • NPI 1427125269
  NPD (past)
• Goldsboro Pediatrics PA

  • Rural Health Clinic/Center
  • Princeton, NC
  • NPI 1437927662
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1336230663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANE RIDGE DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309043",
            "telephone_number": "919-580-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-734-4736",
            "fax_number": "919-580-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRAILKILL",
        "first_name": "MICHELLE",
        "middle_name": "CARTER",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1318G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002625",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "340937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Thompson, LPN
• Kaylyn Renee Thompson, PHARMD
• Kevin Thompson
• Vanessa Thompson, CADC
• Angela Mozingo Thorne, RPH
• Thrive Therapy Center PLLC
• Enrilyn Thronson, D.O.
• McKenzie Lynn Tibbs, DO
• Melanie Diane Tilley, NURSE PRACTITIONER
• Timothy O Imafidon Jr DDS PA

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, 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 Sep 24, 2008; 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.