Active NPI
Netashia Michelle Wiley, LCSWA
- Clinical Social Worker
- Burlington, NC
National Provider Identifier
1669093548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P023347
- Practice address
- 5270 Union Ridge Rd
Burlington, NC 27217-7594 - Phone
- (336) 421-3247
- Fax
- (336) 421-3275
- NPI assigned
- May 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P023347 | NC | Primary |
Addresses
Primary practice location
5270 Union Ridge Rd
Burlington, NC 27217-7594
Mailing address
39 Mineral Springs Rd
Pelham, NC 27311-9787
Phone (336) 280-8425
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200701003674 | NC | Order and Referring Only - Clinical Social Worker | 6800219239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P023347 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1669093548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MINERAL SPRINGS RD",
"city": "PELHAM",
"state": "NC",
"postal_code": "273119787",
"telephone_number": "336-280-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 UNION RIDGE RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272177594",
"telephone_number": "336-421-3247",
"fax_number": "336-421-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "NETASHIA",
"middle_name": "MICHELLE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P023347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.