Nicole Leigh Derrico, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17204 Issued in SC

Practice address

1426 Creekwood Rd
Hope Mills, NC 28348-1418

Phone

(910) 316-5225

NPI assigned

May 31, 2012

Last updated

Dec 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Nicole Leigh Thorn Former name

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fletcher Hospital IncGroup PAC ID 5395658819, shared by 5 NPIs, 302 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6250bb55-ad93-47a0-aec6-517b10254738/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar & Stone Counseling PLLC

  • Clinical Social Worker
  • Hope Mills, NC
  • NPI 1346102811
  Medicare reassignment NPD Authorized official
• Fletcher Hospital Inc.

  dba AdventHealth Hendersonville

  • Rural Acute Care Hospital
  • Hendersonville, NC
  • NPI 1427075027
  Medicare reassignment NPD
• Brightside Medical of New Jersey, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1811524754

  NC

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD
• Fletcher Hospital Inc

  dba AdventHealth Family Medicine & Behavioral Health Clinic Saluda

  • Rural Health Clinic/Center
  • Saluda, NC
  • NPI 1376371880
  NPD
• Fletcher Hospital Inc.

  dba AdventHealth

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1477995124
  NPD
• St. Luke's Hospital Inc.

  • Critical Access Hospital
  • Columbus, NC
  • NPI 1497944912
  NPD
• St. Luke's Hospital Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, NC
  • NPI 1760526586
  NPD
• St. Luke's Hospital, Inc

  dba Saluda Family Medicine

  • Rural Health Clinic/Center
  • Saluda, NC
  • NPI 1649788662
  NPD

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1467713073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 CREEKWOOD RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481418",
            "telephone_number": "910-316-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 CREEKWOOD RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481418",
            "telephone_number": "910-316-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICO",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010147",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17204",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078863-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C010147",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "078863-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "THORN",
            "middle_name": "LEIGH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mytrang T Dang, PA-C
• Emily Raynor Davis, OD
• Malea Davis
• William Davis Jr.
• Stephen Michael Delellis, PA-C
• Harshal Desai
• Dije Counseling & Therapeutic Services, PLLC
• Divine Wellness Therapeutic Center PLLC
• Kethia Dorceus Pierre
• Ashley Alisa Douglas

• Clinical Social Worker in Hope Mills, NC
• Providers in Hope Mills, 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 Dec 19, 2025; 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.