Individual provider Active NPI

Nicole Emily Wood, LCSWA

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1578132049
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021733 Issued in NC
Practice address
3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002
Phone
(704) 874-9005
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.177066 OH
Case Manager/Care Coordinator 171M00000X 171M00000X ND
Clinical Social Worker 1041C0700X P021733 NC Primary

Addresses

Primary practice location

3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 730-7003

Other practice location 1

18003 Woodsfield Rd Ste 2
Caldwell, OH 43724-1392
Phone (740) 732-5988

Other practice location 2

2529 Maple Ave
Zanesville, OH 43701-1833
Phone (740) 297-8859

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
CDCA.177066OHMDAddiction (Substance Use Disorder) Counselor
P021733NCMDClinical Social Worker
171M00000XNDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Ohio, LLC CurrentSince Jun 1, 2021 Accepting new patients
Selfrefind Ohio, LLC PastSince Jun 1, 2021 Accepting new patients
Monarch Past Accepting new patients

Locations

2529 Maple Ave
Zanesville, OH 43701
Phone (740) 297-8859

Organizations & group practices 3

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1578132049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-730-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566002",
            "telephone_number": "704-874-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18003 Woodsfield Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "OH",
            "postal_code": "437241392",
            "country_code": "US",
            "telephone_number": "740-732-5988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2529 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011833",
            "country_code": "US",
            "telephone_number": "740-297-8859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NICOLE",
        "middle_name": "EMILY",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.177066",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "171M00000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.