Mytajha Charbarneau Rascoe, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013610 Issued in NC

Practice address

2416 Bedgood Dr SW
Wilson, NC 27893-8515

Phone

(252) 265-9200

Fax

(252) 237-8600

NPI assigned

Nov 13, 2018

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

Other names 1

• Mytajha Rascoe Freeman Other name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pride in North Carolina LLC 34 clinicians

Amy Grassi Watson PC 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amy Grassi Watson, PC

  • Mental Health Counselor
  • Wilson, NC
  • NPI 1275286916

  NC

  Medicare reassignment Care Compare group NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Clinical, NC

  Medicare reassignment Care Compare group NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1598234155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BEDGOOD DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938515",
            "telephone_number": "252-265-9200",
            "fax_number": "252-237-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BEDGOOD DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938515",
            "telephone_number": "252-265-9200",
            "fax_number": "252-237-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCOE",
        "first_name": "MYTAJHA",
        "middle_name": "CHARBARNEAU",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYTAJHA",
            "last_name": "FREEMAN",
            "middle_name": "RASCOE",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Elena Ramirez
• Mark Patrick Randolph, PA-C
• Richard Nichols Randolph, O.D.
• Colleen Dougherty Raper, MS, LCAS
• Amber Christine Rardin, PA-C
• Lakeisha Rayner, FNP-C
• Realo Discount Drug Stores of Eastern North Carolina Inc
• Realo Discount Drug Stores of Eastern North Carolina, Inc
• Karl Howard Rech, AU.D.
• Gregory Reddick

• All providers in Wilson, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.