Individual provider Active NPI

Ebony Tiara Wright, MSW, LCSW

  • Clinical Social Worker
  • North Charleston, SC
National Provider Identifier
1346771318
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13371 Issued in SC
Practice address
4000 Faber Place Dr Ste 300
North Charleston, SC 29405-8587
Phone
(843) 781-1449
NPI assigned
Mar 22, 2017
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 C012383 NC
Clinical Social Worker 1041C0700X 13371 SC Primary

Addresses

Primary practice location

4000 Faber Place Dr Ste 300
North Charleston, SC 29405-8587

Mailing address

1985 Riviera Dr Ste 103
Mt Pleasant, SC 29464-7582
Phone (843) 781-1449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191030000341 NC Practitioner - Clinical Social Worker 6800128588 Reassigns benefits to 1 organization
I20191211000520 SC Practitioner - Clinical Social Worker 6800128588 Reassigns benefits to 1 organization
I20220627000503 PA Practitioner - Clinical Social Worker 6800128588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012383NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Care Therapy Services PC Clinical CurrentSince May 15, 2022 Accepting new patients
Che Behavioral Health Services of South Carolina, P.C. Clinical CurrentSince Jan 19, 2022 Accepting new patients
Che Behavioral Health Services of North Carolina, P.C Clinical CurrentSince Jan 18, 2022 Accepting new patients
Wright Health LLC Current Accepting new patients

Locations

2015 Ayrsley Town Blvd
Ste 202
Charlotte, NC 28273
Phone (704) 727-7008

630 Freedom Business Ctr Dr
Fl 3
King of Prussia, PA 19406
Phone (484) 686-1008

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

1985 Riviera Dr
Ste 103
Mt Pleasant, SC 29464
Phone (843) 442-4341

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1346771318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 RIVIERA DR STE 103",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647582",
            "telephone_number": "843-781-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 300",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058587",
            "telephone_number": "843-781-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "EBONY",
        "middle_name": "TIARA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012383",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.