Emily Elyse White Wooldridge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011191 Issued in NC

Practice address

26 E Main St Ste 8
Brevard, NC 28712-3760

Phone

(828) 545-0984

Fax

(828) 519-5002

NPI assigned

Jan 25, 2020

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

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1568092864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287681034",
            "telephone_number": "828-545-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST STE 8",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123760",
            "telephone_number": "828-545-0984",
            "fax_number": "828-519-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "EMILY",
        "middle_name": "ELYSE WHITE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Wisda, LCSWA
• Ashley Owen Witt, LCMHC
• Luke Womble, M.D.
• Sarah Woodbury, MS, MAT, ATC, LAT
• Kyle Woods
• WP-Brevard Health Holdings I, LLC
• WP-Brevard Health Holdings II, LLC
• James Francis Wright, MD
• Stephanie Bibby Yeatts, LCMHC
• Padma Priya Yelisetty, DDS

• Clinical Social Worker in Brevard, NC
• Providers in Brevard, 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 Aug 14, 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.