Individual provider Active NPI

Beth Carson, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1356919823
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014695 Issued in NC
Practice address
4005 Oleander Dr
Wilmington, NC 28403-6816
Phone
(910) 790-9949
Fax
(910) 790-9455
NPI assigned
Jun 11, 2021
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 P013014 NC
Clinical Social Worker 1041C0700X C014695 NC Primary

Addresses

Primary practice location

4005 Oleander Dr
Wilmington, NC 28403-6816

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431

Other practice location 1

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 259-0668

Other practice location 2

4036 Bus 17 East Bldg 600
Bolivia, NC 28422-2842
Phone (910) 703-8800

Other practice location 3

1307 Market St
Wilmington, NC 28401-4331
Phone (910) 790-9949

Other practice location 4

6 Doctors Cir Ste 1
Supply, NC 28462-6358
Phone (910) 754-4233

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
I20220217000063 NC Practitioner - Clinical Social Worker 8820481765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013014NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Horizons Center Inc CurrentSince Feb 2, 2022 Accepting new patients
Coastal Horizons Center, Inc. Current Accepting new patients
Coastal Horizons Center, Inc. CurrentSince Feb 2, 2022 Accepting new patients

Locations

309 Progress Dr
Burgaw, NC 28425
Phone (910) 259-0445

120 Coastal Horizons Dr
Shallotte, NC 28470
Phone (910) 754-4515

615 Shipyard Blvd
Wilmington, NC 28412
Phone (910) 202-5709

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1356919823",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036816",
            "telephone_number": "910-790-9949",
            "fax_number": "910-790-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Shipyard Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284126431",
            "country_code": "US",
            "telephone_number": "910-259-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4036 Bus 17 East Bldg 600",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284222842",
            "country_code": "US",
            "telephone_number": "910-703-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284014331",
            "country_code": "US",
            "telephone_number": "910-790-9949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Doctors Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284626358",
            "country_code": "US",
            "telephone_number": "910-754-4233",
            "fax_number": "910-754-3439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013014",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.