Individual provider Active NPI

Courtney Preston Wright, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1689015166
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009368 Issued in NC
Practice address
1133 Military Cutoff Rd
Ste 210
Wilmington, NC 28405-4400
Phone
(312) 695-2172
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C009368 NC Primary
Clinical Social Worker 1041C0700X 149.015844 IL

Addresses

Primary practice location

1133 Military Cutoff Rd
Ste 210
Wilmington, NC 28405-4400

Mailing address

412 Westridge CT
Wilmington, NC 28411
Phone (773) 504-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130812000110 IL Practitioner - Clinical Social Worker 6305088907 Reassigns benefits to 1 organization
I20201105000870 NC Practitioner - Clinical Social Worker 6305088907 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2450 Delaney Ave
Wilmington, NC 28403-6062
Phone (910) 256-3784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015844ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jul 9, 2013 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Jul 9, 2013 Accepting new patients
LMV Counseling, PLLC Clinical PastSince Oct 19, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

446 E Ontario St
Ste 7100
Chicago, IL 60611
Phone (312) 926-8058

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1689015166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 WESTRIDGE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "773-504-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF RD",
            "address_2": "STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054400",
            "telephone_number": "312-695-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "COURTNEY",
        "middle_name": "PRESTON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009368",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.