Individual provider Active NPI

Mercedes Wilkins McLaughlin, LCSW

  • Clinical Social Worker
  • Leland, NC
National Provider Identifier
1447744941
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013397 Issued in NC
Practice address
2609 Snowbell CT
Leland, NC 28451-6025
Phone
(252) 292-3266
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 P012523 NC
Clinical Social Worker 1041C0700X C013397 NC Primary

Addresses

Primary practice location

2609 Snowbell CT
Leland, NC 28451-6025

Mailing address

2609 Snowbell CT
Leland, NC 28451-6025
Phone (252) 292-3266

Other practice location 1

7008 Cape Harbor Dr Apt A
Wilmington, NC 28411
Phone (252) 292-3266

Other names 1

  • Miss Mercedes Tia Wilkins Former name

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
C013397NCMDClinical Social Worker
P012523NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moonstone Ballast Therapy and Wholeness, PLLC Clinical CurrentSince Apr 21, 2024 Accepting new patients

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1447744941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SNOWBELL CT",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516025",
            "telephone_number": "252-292-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SNOWBELL CT",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516025",
            "telephone_number": "252-292-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7008 Cape Harbor Dr Apt A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28411",
            "country_code": "US",
            "telephone_number": "252-292-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "MERCEDES",
        "middle_name": "WILKINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "WILKINS",
            "middle_name": "TIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.