Individual provider Active NPI

Courtney Huffman Ross, LCSW, LCAS

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1720429715
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009598 Issued in NC
Practice address
7274 Copperfield CT
Wilmington, NC 28411-7231
Phone
(828) 244-3779
Fax
(704) 496-2231
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 C009598 NC Primary

Addresses

Primary practice location

7274 Copperfield CT
Wilmington, NC 28411-7231

Mailing address

7274 Copperfield CT
Wilmington, NC 28411-7231
Phone (828) 244-3779

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
I20151008003161 NC Practitioner - Clinical Social Worker 2668780792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009598NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1720429715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7274 COPPERFIELD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117231",
            "telephone_number": "828-244-3779",
            "fax_number": "704-496-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7274 COPPERFIELD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117231",
            "telephone_number": "828-244-3779",
            "fax_number": "704-496-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "COURTNEY",
        "middle_name": "HUFFMAN",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.