Active NPI
Alexis Micheala Pencola, LCSWA, LCASA
- Clinical Social Worker
- Rocky Point, NC
National Provider Identifier
1669360384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P022530
- Practice address
- 7910 US Hwy 117 S
Rocky Point, NC 28457-9431 - Phone
- (910) 259-0668
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P022530 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30927 | NC |
Addresses
Primary practice location
7910 US Hwy 117 S
Rocky Point, NC 28457-9431
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
7876 US Hwy 117 S # A
Rocky Point, NC 28457-8408
Phone (910) 259-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30927 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P022530 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1669360384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 US HWY 117 S",
"city": "ROCKY POINT",
"state": "NC",
"postal_code": "284579431",
"telephone_number": "910-259-0668"
}
],
"practiceLocations": [
{
"address_1": "7876 US Hwy 117 S # A",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NC",
"postal_code": "284578408",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENCOLA",
"first_name": "ALEXIS",
"middle_name": "MICHEALA",
"credential": "LCSWA, LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P022530",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "30927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.