Rachel Weiss, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020711 Issued in NC

Practice address

6 Doctors Cir Ste 1
Supply, NC 28462-6358

Phone

(910) 754-4233

Fax

(910) 754-3439

NPI assigned

Jul 3, 2024

Last updated

Sep 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Pendergraft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1730925249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-399-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOCTORS CIR STE 1",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284626358",
            "telephone_number": "910-754-4233",
            "fax_number": "910-754-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Coastal Horizons Dr",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284706094",
            "country_code": "US",
            "telephone_number": "910-754-4515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Shipyard Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284126431",
            "country_code": "US",
            "telephone_number": "910-399-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "RACHEL",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PENDERGRAFT",
            "credential": "LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizaida Velez-Olan, LCSW
• David Ward
• Savannah Parker Ward, FNP
• Audrey Mavis Watson, PA-C
• Katherine Singletary Watts, COTA/L
• Well Care Home Health of Brunswickco, Inc.
• Christopher Gregory Wesdock, PT, DPT
• Kenneth Lee Willeford, M.D.
• Larry Lee Wilson, MD
• Susan Kady Wilson, M.D.

• Clinical Social Worker in Supply, NC
• Providers in Supply, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.