Individual provider Active NPI

Felisha McElvine, MSW, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1487392478
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015843 Issued in NC
Practice address
848 Ronald Reagan Dr
Fayetteville, NC 28311-1678
Phone
(919) 637-5799
NPI assigned
May 20, 2022
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 P015843 NC Primary

Addresses

Primary practice location

848 Ronald Reagan Dr
Fayetteville, NC 28311-1678

Mailing address

848 Ronald Reagan Dr
Fayetteville, NC 28311-1678

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lwgrace2022@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P015843NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1487392478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 RONALD REAGAN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 RONALD REAGAN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111678",
            "telephone_number": "919-637-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVINE",
        "first_name": "FELISHA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lwgrace2022@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "848 Ronald Reagan Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283111678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.