Alissa Childress

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019147 Issued in NC

Practice address

1329 N Brightleaf Blvd
Smithfield, NC 27577-7262

Phone

(919) 714-7500

NPI assigned

Jun 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1134420169
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1558048827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 KNIGHTS BRIDGE DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205408",
            "telephone_number": "410-935-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777262",
            "telephone_number": "919-714-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Elizabeth Chapman, MS, RDN, LDN
• Silvana Angelica Cheney
• Raina Cheruvathoor
• Destiny Ventrice Chestnut
• Caroline Childers, NP
• Chiropractic Health Center of Smithfield,P.a.
• Leigh Mears Christian, M.S., CCC-SLP
• Shaheera Baig Chughtai, D.O
• Lisa Ciaccio, PA-C
• Octavio Cieza, M.D.

• Clinical Social Worker in Smithfield, NC
• Providers in Smithfield, 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 Jun 29, 2023; 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.