Individual provider Active NPI

Shannon Leigh Worley, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1487108361
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011722 Issued in NC
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 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

IdentifierTypeStateIssuer
P010931OtherNCLICENSURE

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

LicenseStateTypeSpecialty
P010931NCMDClinical 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

Verify at the official NPI Registry.