Active NPI
Billy R West Jr., L.C.S.W.
- Clinical Social Worker
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004170
- Practice address
- 1305 S Cannon Blvd
Kannapolis, NC 28083-6232 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004170 | NC | Primary |
Addresses
Primary practice location
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Mailing address
1305 S Cannon Blvd
Kannapolis, NC 28083-6232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106626 | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4170 | NC | MD | Clinical Psychologist |
| C004170 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Clinical | Current | Accepting new patients |
| Daymark Recovery Services Inc | Past | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1305 S Cannon Blvd
Kannapolis, NC 28083
Phone (704) 933-3212
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
1807 E Innes St
Salisbury, NC 28146
Phone (704) 633-3616
Interoperability endpoints
- billy.west.p1@direct.daymarkrecovery.nextgenshare.com
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.
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1487814869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1376622175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836232",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "BILLY",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106626",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.