Individual provider Active NPI

Ronald John Pallick, LCAS, P-LCSW, LSSW

  • Addiction (Substance Use Disorder) Counselor
  • Spruce Pine, NC
National Provider Identifier
1508008277
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1329 Issued in NC
Practice address
205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713
Phone
(828) 765-4463
Fax
(828) 765-6257
NPI assigned
Mar 27, 2009
Last updated
Mar 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1329 NC Primary
Clinical Social Worker 1041C0700X P004410 NC

Addresses

Primary practice location

205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713

Mailing address

205 Locust Ave
Suite C
Spruce Pine, NC 28777-2713
Phone (828) 765-4463

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
I20191213002099 NC Practitioner - Clinical Social Worker 0244663797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Counseling and Psychological Services IncGroup PAC ID 4880996792, 27 clinicians

Practice addresses (Care Compare)

1 Oak PLZ
Suite 208
Asheville, NC 28801-3000
Phone (828) 575-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P004410NCMDClinical Social Worker
1329NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Counseling and Psychological Services Clinical CurrentSince Dec 16, 2020 Accepting new patients
Appalachian Counseling and Psychological Services, Inc. CurrentSince Oct 10, 2019 Accepting new patients

Locations

1 Oak Plz
Ste 208
Asheville, NC 28801
Phone (828) 575-9760

600A Centrepark Dr
Asheville, NC 28805
Phone (828) 575-9760

205 Locust St
Spruce Pine, NC 28777
Phone (828) 575-9760

205 Locust St
#C
Spruce Pine, NC 28777
Phone (828) 765-4463

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1508008277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LOCUST AVE",
            "address_2": "SUITE C",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287772713",
            "telephone_number": "828-765-4463",
            "fax_number": "828-765-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LOCUST AVE",
            "address_2": "SUITE C",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287772713",
            "telephone_number": "828-765-4463",
            "fax_number": "828-765-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLICK",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCAS, P-LCSW, LSSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1329",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P004410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

Verify at the official NPI Registry.