Nicolee Knowles, LCSW,LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012753 Issued in NC

Practice address

4014 Oleander Dr Ste 103
Wilmington, NC 28403-6811

Phone

(910) 338-9197

NPI assigned

Oct 24, 2018

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Niki Knowles Other name

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

Specialty

Clinical Social Worker

Education

University of North Carolina at Chapel Hill School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Behavioral Resources PCGroup PAC ID 7911316435, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Triad Behavioral Resources PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1336292556
  Medicare reassignment Care Compare group NPD
• Cape Fear Health & Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1720568660
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1386110716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GREENVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 OLEANDER DR STE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036811",
            "telephone_number": "910-338-9197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Front St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284015095",
            "country_code": "US",
            "telephone_number": "910-765-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "NICOLEE",
        "credential": "LCSW,LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23489",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "KNOWLES",
            "credential": "LCSW,LCAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Delaney Knight, MS, OT/L
• Mia Chelsea Knight
• Tiffany Ellis Knight, LAT, ATC, OTC
• Susan Greenwood Knopf, OTA
• Lawrence Harding Knott Jr., M.D.
• Knox Clinic Pediatrics
• John Knox, PT
• Rokima Michelle Knox, PMHNP-BC
• Jade Ashley Knutson Day, LCAS, LPC
• April Koch, CRP

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.