Individual provider Active NPI

Billy Keith Idell

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1700131455
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008783 Issued in NC
Practice address
5 Allen Ave Ste B
Asheville, NC 28803-2272
Phone
(828) 200-3739
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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 C008783 NC Primary

Addresses

Primary practice location

5 Allen Ave Ste B
Asheville, NC 28803-2272

Mailing address

1 Braddock Way
Asheville, NC 28803-2035
Phone (828) 200-3739

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
I20140804000675 NC Practitioner - Clinical Social Worker 7214150986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

56 Central Ave
Suite 103
Asheville, NC 28801-2459
Phone (828) 200-3739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Idell, LCSW, P.C. CurrentSince May 24, 2014 Accepting new patients

Locations

56 Central Ave
Ste 103
Asheville, NC 28801
Phone (770) 356-3132

5 Allen Ave
Ste B
Asheville, NC 28803
Phone (828) 200-3739

Organizations & group practices 1

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1700131455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK WAY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032035",
            "telephone_number": "828-200-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALLEN AVE STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032272",
            "telephone_number": "828-200-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELL",
        "first_name": "BILLY",
        "middle_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.