Active NPI
Shannon Leigh Worley, LCSW
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1487108361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011722
- Practice address
- 3 Obrians Way
Asheville, NC 28803-8517 - Phone
- (828) 712-1603
- Fax
- (828) 544-1201
- NPI assigned
- Aug 9, 2016
- Last updated
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C011722 | NC | Primary |
| Clinical Social Worker | 1041C0700X | P010931 | NC |
Addresses
Primary practice location
3 Obrians Way
Asheville, NC 28803-8517
Mailing address
3 Obrians Way
Asheville, NC 28803-8517
Phone (828) 712-1603
Other practice location 1
617 S Green St
Sutie 300
Morganton, NC 28655-3517
Phone (828) 437-3000
Other practice location 2
43 Grove St Ste 5
Asheville, NC 28801-3265
Phone (828) 712-1603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010931 | Other | NC | LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P010931 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1487108361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OBRIANS WAY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038517",
"telephone_number": "828-712-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OBRIANS WAY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038517",
"telephone_number": "828-712-1603",
"fax_number": "828-544-1201"
}
],
"practiceLocations": [
{
"address_1": "617 S Green St",
"address_2": "Sutie 300",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286553517",
"country_code": "US",
"telephone_number": "828-437-3000",
"fax_number": "828-437-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43 Grove St Ste 5",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288013265",
"country_code": "US",
"telephone_number": "828-712-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORLEY",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011722",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P010931",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "P010931",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.