Individual provider Active NPI

Elvira Carreno Presley

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1669017810
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014269 Issued in NC
Practice address
696 N Spence Ave Ste a
Goldsboro, NC 27534-4354
Phone
(919) 330-4147
Fax
(919) 330-4142
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 P014269 NC Primary

Addresses

Primary practice location

696 N Spence Ave Ste a
Goldsboro, NC 27534-4354

Mailing address

696 N Spence Ave Ste a
Goldsboro, NC 27534-4354
Phone (919) 223-2765

Other practice location 1

208 Malloy St
Goldsboro, NC 27534-4478
Phone (919) 778-5594

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
I20260121001891 NC Practitioner - Clinical Social Worker 5092145284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720

208 Malloy St
Suite E
Goldsboro, NC 27534-4478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014269NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Counseling Services PLLC Clinical CurrentSince Nov 17, 2019 Accepting new patients
Goldsboro Counseling Center, P.a. CurrentSince Nov 6, 2025 Accepting new patients

Locations

208 Malloy St
Ste E
Goldsboro, NC 27534
Phone (919) 778-5594

696 N Spence Ave
Ste A
Goldsboro, NC 27534
Phone (919) 330-4147

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1669017810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-223-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-330-4147",
            "fax_number": "919-330-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Malloy St",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275344478",
            "country_code": "US",
            "telephone_number": "919-778-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "ELVIRA",
        "middle_name": "CARRENO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.