Adam Michael Carlson, MSW, LCSW-A, LCAS-A
Individual provider Active NPI Clinical Social Worker · Winterville, NC
NPI 1366097883 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1366097883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C014117 (NC)
- Practice address
- 4054 S Memorial Dr Ste K
Winterville, NC 28590-8690 - Phone
- (252) 561-8112
- Fax
- (252) 561-7455
- NPI assigned
- Aug 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25691 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25691 | NC | |
| Clinical Social Worker | 1041C0700X | C014117 | NC | Yes |
Addresses
Primary practice location
4054 S Memorial Dr Ste K
Winterville, NC 28590-8690
Mailing address
231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080
Other practice location 1
231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Winterville | Direct |
Other providers in Winterville, NC
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- Wendy Ballard Carels
- Carenet Inc
- Carolina Speech Center, Inc
- Carolina Vision Care DRS. McIntosh & Associates OD PA
- Gregory Cassell
- Toccara Ann Chamberlain
- Changing One'S Perspective
All providers in Winterville, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.