NPIMap

Organization Active NPI

Evoke Wellness, PLLC

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1609598150
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVOKE WELLNESS, PLLC
Practice address
4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370
Phone
(910) 833-7122
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Juliana StanfieldNPI 1437829710
Title
Owner
Phone
(910) 833-7122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370

Mailing address

4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370
Phone (910) 833-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529000831 NC Part B Supplier - Clinic/Group Practice 9234609363 Receives reassigned benefits from 1 practitioner
Practice locations: Leland, NC; Wilmington, NC

National Provider Directory

National Provider Directory

Locations

1012 Grandiflora Dr
#120
Leland, NC 28451
Phone (910) 399-4002

1014A Grandiflora Dr
Leland, NC 28451

4833 Carolina Beach Rd
Ste 106
Wilmington, NC 28412
Phone (910) 332-7900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1609598150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 CAROLINA BEACH RD STE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122370",
            "telephone_number": "910-833-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 CAROLINA BEACH RD STE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122370",
            "telephone_number": "910-833-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "STANFIELD",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-833-7122"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.