Individual provider Active NPI

Phyllis Starr Nolan, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1366647752
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000971 Issued in NC
Practice address
25 Tacoma PL
Asheville, NC 28801-1629
Phone
(828) 245-4234
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 C000971 NC Primary

Addresses

Primary practice location

25 Tacoma PL
Asheville, NC 28801-1629

Mailing address

25 Tacoma PL
Asheville, NC 28801-1629
Phone (828) 245-4234

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
I20100203000919 NC Practitioner - Clinical Social Worker 4486797131 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

239 S French Broad Ave
Asheville, NC 28801-3901
Phone (828) 215-4234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brookside Guides, Inc. Clinical CurrentSince Jan 3, 2021 Accepting new patients
Youngwood PLLC Past Accepting new patients

Locations

239 S French Broad Ave
Asheville, NC 28801
Phone (828) 231-2610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1366647752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TACOMA PL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011629",
            "telephone_number": "828-245-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TACOMA PL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011629",
            "telephone_number": "828-245-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "PHYLLIS",
        "middle_name": "STARR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-01-05",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.