Active NPI
Rebecca L Nagaishi, MSW, LCSW, LMFT
- Marriage & Family Therapist
- Winston Salem, NC
National Provider Identifier
1508942590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 286
- Practice address
- 610 Coliseum Drive
Family Services, Inc
Winston-Salem, NC 27106 - Phone
- (336) 722-8173
- Fax
- (336) 724-6491
- NPI assigned
- Oct 31, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000067 | NC | |
| Marriage & Family Therapist | 106H00000X | 286 | NC | Primary |
Addresses
Primary practice location
610 Coliseum Drive
Family Services, Inc
Winston-Salem, NC 27106
Mailing address
720 La Vale Dr
Clemmons, NC 27012-9042
Phone (336) 722-8173
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000067 | NC | MD | Clinical Social Worker |
| 286 | NC | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Winston Salem, NC
- NPI 1225108707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508942590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 LA VALE DR",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129042",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 COLISEUM DRIVE",
"address_2": "FAMILY SERVICES, INC",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAISHI",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "000067",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.