Individual provider Active NPI

Nicollette Cushinotto

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1730084724
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P024476 Issued in NC
Practice address
4704 Stillwell Rd
Wilmington, NC 28412-7630
Phone
(315) 884-0422
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 P024476 NC Primary

Addresses

Primary practice location

4704 Stillwell Rd
Wilmington, NC 28412-7630

Mailing address

4704 Stillwell Rd
Wilmington, NC 28412-7630
Phone (315) 884-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1730084724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 STILLWELL RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127630",
            "telephone_number": "315-884-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 STILLWELL RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127630",
            "telephone_number": "315-884-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHINOTTO",
        "first_name": "NICOLLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P024476",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.