Roxanne Annesa Wilson-Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C019948 Issued in NC

Practice address

3057 Freedom Dr
Charlotte, NC 28208-3859

Phone

(743) 253-7042

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Roxanne Annesa Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gaston Adolescent Center, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1316236458

  Clinical

  NPD (past)
• Monarch

  • Assisted Living Facility (Mental Illness)
  • Charlotte, NC
  • NPI 1740588037
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1669858858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083859",
            "telephone_number": "743-253-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-MILLER",
        "first_name": "ROXANNE",
        "middle_name": "ANNESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK BOARD",
            "identifier": "C019948",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316236458",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "WILSON",
            "middle_name": "ANNESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanija S Wills
• Marion Ellen Wilm, OTR/L
• Joya D Wilmot
• Wilora Lake Healthcare LLC
• Elizabeth Oludayo Wilson-Durham, FNP
• Heather Dawn Wilson-Shelton
• Aaron Everett Wilson, MD
• Acacia Wilson
• Aghashiyah Al'Haqqah Muhammad Wilson, LCSW-A
• Alecia Marie Wilson, FNP-C

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.