Michelle R Wisda, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014126 Issued in NC

Practice address

69 N Broad St
Brevard, NC 28712-3725

Phone

(828) 631-3973

NPI assigned

Jun 20, 2011

Last updated

Nov 13, 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 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1457647380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2187",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123725",
            "telephone_number": "828-631-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDA",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Carrol Whitmire, MHS, ATC, LAT, CSCS
• Wild Clarity LLC
• William Dalton, PC
• Brittany T Williams, PA, LAT, ATC
• Joseph Hooper Williams, O.D.
• Ashley Owen Witt, LCMHC
• Luke Womble, M.D.
• Sarah Woodbury, MS, MAT, ATC, LAT
• Kyle Woods
• Emily Elyse White Wooldridge, LCSW

• Clinical Social Worker in Brevard, NC
• Providers in Brevard, 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 Nov 13, 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.