Individual provider Active NPI

Tori Nieusma, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1386017291
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013545 Issued in NC
Practice address
3133 Wrightsville Ave
Wilmington, NC 28403-4111
Phone
(910) 742-0489
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 C013545 NC Primary
Social Worker 104100000X 6802088769 MI

Addresses

Primary practice location

3133 Wrightsville Ave
Wilmington, NC 28403-4111

Mailing address

206 J Belton CT
Sneads Ferry, NC 28460-4200
Phone (517) 748-1004

Other practice location 1

206 J Belton Ct
Sneads Ferry, NC 28460-4200
Phone (517) 748-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6802088769MIMDSocial Worker
C013545NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tori Nieusma, LCSW, PLLC Clinical CurrentSince Oct 1, 2021 Accepting new patients
Honeybee Psychotherapy & Behavioral Health, PLLC CurrentSince Mar 16, 2021 Accepting new patients

Locations

3133 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 202-9337

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1386017291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 J BELTON CT",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284604200",
            "telephone_number": "517-748-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111",
            "telephone_number": "910-742-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 J Belton Ct",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "284604200",
            "country_code": "US",
            "telephone_number": "517-748-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEUSMA",
        "first_name": "TORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013545",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802088769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.