Individual provider Active NPI

Casey Dianne Webb, LCSW

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1356078612
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018118 Issued in NC
Practice address
2416 Bedgood Dr SW
Wilson, NC 27893-8515
Phone
(252) 265-9200
Fax
(252) 237-8600
NPI assigned
Aug 5, 2022
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 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 C018118 NC Primary

Addresses

Primary practice location

2416 Bedgood Dr SW
Wilson, NC 27893-8515

Mailing address

2416 Bedgood Dr SW
Wilson, NC 27893-8515
Phone (252) 265-9200

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
I20250421000376 NC Practitioner - Clinical Social Worker 4789109919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pride in North Carolina LLCGroup PAC ID 9638105869, 34 clinicians

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515
Phone (252) 265-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018118NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical CurrentSince Apr 14, 2025 Accepting new patients
Pride in North Carolina, LLC CurrentSince Apr 14, 2025 Accepting new patients
Yotaron Enrichment Resource Center PastSince Aug 1, 2022 Accepting new patients

Locations

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Organizations & group practices 3

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1356078612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BEDGOOD DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938515",
            "telephone_number": "252-265-9200",
            "fax_number": "252-237-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BEDGOOD DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938515",
            "telephone_number": "252-265-9200",
            "fax_number": "252-237-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CASEY",
        "middle_name": "DIANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.