Individual provider Active NPI

Erica Richardson

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1497147268
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017822 Issued in NC
Practice address
2541 S 17TH St
Wilmington, NC 28401-7705
Phone
(910) 332-3513
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X C017822 NC Primary

Addresses

Primary practice location

2541 S 17TH St
Wilmington, NC 28401-7705

Mailing address

1019 Stoney Woods LN
Leland, NC 28451-9388
Phone (585) 808-3012

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
I20250304001459 NC Practitioner - Clinical Social Worker 9436670700

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Tarboro St SW
Suite 102
Wilson, NC 27893-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017822NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Caring Heart Case Management, Inc. Clinical CurrentSince Dec 12, 2024 Accepting new patients
A Caring Heart Case Management, Inc. Clinical CurrentSince Dec 12, 2024 Accepting new patients
Carolina Austism Institute Current Accepting new patients

Locations

2541 S 17th St
Wilmington, NC 28401
Phone (910) 313-6002

1901 Tarboro St SW
Ste 102
Wilson, NC 27893
Phone (252) 206-1266

Organizations & group practices 3

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1497147268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 STONEY WOODS LN",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519388",
            "telephone_number": "585-808-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017705",
            "telephone_number": "910-332-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.