Individual provider Active NPI

Carolyn Miller, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1457696262
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006549 Issued in NC
Practice address
2018 Eastwood Rd Ste 102
Wilmington, NC 28403-7228
Phone
(910) 344-0140
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 C006549 NC Primary

Addresses

Primary practice location

2018 Eastwood Rd Ste 102
Wilmington, NC 28403-7228

Mailing address

2018 Eastwood Rd Ste 102
Wilmington, NC 28403-7228
Phone (910) 344-0140

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
I20221123001017 NC Practitioner - Clinical Social Worker 3274901285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006549NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Point, PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

2460 Delaney Ave
Wilmington, NC 28403
Phone (910) 407-9473

3205 Randall Pkwy
Ste 128
Wilmington, NC 28403
Phone (910) 338-9093

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": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1457696262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 EASTWOOD RD STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037228",
            "telephone_number": "910-344-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 EASTWOOD RD STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037228",
            "telephone_number": "910-344-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.