Active NPI
Donielle Maria Preusser, MSW, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1720035629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004206
- Practice address
- 313 Walnut St
Suite 111
Wilmington, NC 28401-4063 - Phone
- (910) 815-6699
- Fax
- (910) 343-4227
- NPI assigned
- May 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004206 | NC | Primary |
Addresses
Primary practice location
313 Walnut St
Suite 111
Wilmington, NC 28401-4063
Mailing address
313 Walnut St
Suite 111
Wilmington, NC 28401-4063
Phone (910) 815-6699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1340T | Other | NC | BLUE CROSS BLUE SHIELD |
| 6002695 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004206 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastalcare | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1316006075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720035629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 WALNUT ST",
"address_2": "SUITE 111",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014063",
"telephone_number": "910-815-6699",
"fax_number": "910-343-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 WALNUT ST",
"address_2": "SUITE 111",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014063",
"telephone_number": "910-815-6699",
"fax_number": "910-343-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREUSSER",
"first_name": "DONIELLE",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1340T",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002695",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.