Tina Wilson McRary, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012101 Issued in NC

Practice address

118 Peace St
North Wilkesboro, NC 28659-4519

Phone

(336) 667-7191

Fax

(336) 667-6859

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243
  Medicare reassignment

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1508268517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 BAKER CIR",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PEACE ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594519",
            "telephone_number": "336-667-7191",
            "fax_number": "336-667-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRARY",
        "first_name": "TINA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00530556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Grace Matherly, PHARMD
• Ruth Ann Mathis, FNP-BC
• George S. McCarter, O.D.
• Marie Leilane McElwee, NP
• Jennifer Dawn McMeans, RN
• Rebecca Elizabeth Mehalek
• Rachel Shepherd Miles, PA-C
• Theodore Miley Jr., LPN
• Emily Taylor Miller
• Kristin Kaelke Miller

• Clinical Social Worker in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.