Individual provider Active NPI

Mary Catharine Whiteside, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1629140827
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004308 Issued in NC
Practice address
29 Ravenscroft Dr Ste 205
Asheville, NC 28801-3602
Phone
(828) 252-2501
Fax
(828) 639-8025
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004308 NC Primary

Addresses

Primary practice location

29 Ravenscroft Dr Ste 205
Asheville, NC 28801-3602

Mailing address

169 Montford Ave
Asheville, NC 28801-2101
Phone (828) 215-5971

Other identifiers 1

IdentifierTypeStateIssuer
13281OtherNCBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120109000086 NC Practitioner - Clinical Social Worker 3173799418 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Ravenscroft Dr
Asheville, NC 28801-3602
Phone (828) 552-4765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004308NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1629140827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MONTFORD AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012101",
            "telephone_number": "828-215-5971",
            "fax_number": "828-639-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RAVENSCROFT DR STE 205",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013602",
            "telephone_number": "828-252-2501",
            "fax_number": "828-639-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "MARY",
        "middle_name": "CATHARINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.