Individual provider Active NPI

Michelle Celeste Wilson, LCSW

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1427724228
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014180 Issued in NC
Practice address
2719 Graves Dr Ste 5
Goldsboro, NC 27534-4536
Phone
(919) 330-4367
Fax
(919) 330-4375
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C014180 NC Primary

Addresses

Primary practice location

2719 Graves Dr Ste 5
Goldsboro, NC 27534-4536

Mailing address

2719 Graves Dr Ste 5
Goldsboro, NC 27534-4536
Phone (919) 330-4367

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
I20220419001776 NC Practitioner - Clinical Social Worker 4688061765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clientfirst of NC, LLCGroup PAC ID 7517099617, 8 clinicians

Practice addresses (Care Compare)

2719 Graves Dr
Suite 5
Goldsboro, NC 27534-4536
Phone (919) 330-4367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Clientfirst of NC, LLC Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

2719 Graves Dr
Ste 5
Goldsboro, NC 27534
Phone (919) 330-4367

Organizations & group practices 1

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1427724228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 GRAVES DR STE 5",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344536",
            "telephone_number": "919-330-4367",
            "fax_number": "919-330-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 GRAVES DR STE 5",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344536",
            "telephone_number": "919-330-4367",
            "fax_number": "919-330-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.