Individual provider Active NPI

Terri Patrice Wishon, MSW, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1427256387
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002868 Issued in NC
Practice address
77 Central Ave Ste C
Asheville, NC 28801-2451
Phone
(828) 393-0902
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 C002868 NC Primary

Addresses

Primary practice location

77 Central Ave Ste C
Asheville, NC 28801-2451

Mailing address

77 Central Ave Ste C
Asheville, NC 28801-2451
Phone (828) 393-0902

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
I20210707000971 NC Practitioner - Clinical Social Worker 2365844891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellie of Avl Central, PLLCGroup PAC ID 6507308970, 9 clinicians

Practice addresses (Care Compare)

77 Central Ave
Suite C
Asheville, NC 28801-2451
Phone (828) 393-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002868NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie of Avl Central, PLLC CurrentSince Oct 14, 2024 Accepting new patients
Western Carolinians for Criminal Justice Past Accepting new patients

Locations

77 Central Ave
Ste C
Asheville, NC 28801
Phone (828) 393-0902

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1427256387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "828-393-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "828-393-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHON",
        "first_name": "TERRI",
        "middle_name": "PATRICE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.