Individual provider Active NPI

Grace Camden Ellsworth, LCSW-A

  • Clinical Social Worker
  • Waynesville, NC
National Provider Identifier
1548156458
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P022347 Issued in NC
Practice address
55 Academy St
Waynesville, NC 28786-3701
Phone
(828) 507-1421
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 P022347 NC Primary

Addresses

Primary practice location

55 Academy St
Waynesville, NC 28786-3701

Mailing address

100 Featherdown Way Unit 105100
Asheville, NC 28806-0517
Phone (678) 478-2436

Other practice location 1

802 Fairview Rd Ofc 4
Asheville, NC 28803-1171
Phone (828) 367-7719

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
P022347NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Psychedelic Institute CurrentSince Jun 23, 2025 Accepting new patients
Thrive Mental Health Center Clinical PastSince Dec 10, 2023 Accepting new patients

Locations

55 Academy St
Waynesville, NC 28786
Phone (828) 246-9751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1548156458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FEATHERDOWN WAY UNIT 105100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288060517",
            "telephone_number": "678-478-2436",
            "fax_number": "678-478-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ACADEMY ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863701",
            "telephone_number": "828-507-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Fairview Rd Ofc 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031171",
            "country_code": "US",
            "telephone_number": "828-367-7719",
            "fax_number": "828-820-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "GRACE",
        "middle_name": "CAMDEN",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.