Individual provider Active NPI

Danielle Myers, LCSW, LCAS

  • Clinical Social Worker
  • Wadesboro, NC
National Provider Identifier
1760734990
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014482 Issued in NC
Practice address
704 Old Lilesville Rd
Wadesboro, NC 28170-2820
Phone
(704) 694-6588
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-2924 NC
Clinical Social Worker 1041C0700X C014482 NC Primary

Addresses

Primary practice location

704 Old Lilesville Rd
Wadesboro, NC 28170-2820

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Other practice location 1

509 W Hamlet Ave
Hamlet, NC 28345-2623
Phone (910) 719-3336

Other identifiers 1

IdentifierTypeStateIssuer
200905260MedicaidNC

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
I20220513000042 NC Practitioner - Clinical Social Worker 4183001100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

704 Old Lilesville Rd
Wadesboro, NC 28170-2820
Phone (704) 694-6588

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-2924NCMDAddiction (Substance Use Disorder) Counselor
C014482NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Overflow Counseling and Consulting Addiction (Substance Use Disorder) CurrentSince Mar 13, 2022 Accepting new patients
Daymark Recovery Services, Inc. Clinical CurrentSince Jan 22, 2022 Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

704 Old Lilesville Rd
Wadesboro, NC 28170
Phone (704) 694-6588

Interoperability endpoints

  • Direct secure messaging: danielle.diggs.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 2

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1760734990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 OLD LILESVILLE RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702820",
            "telephone_number": "704-694-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 W Hamlet Ave",
            "address_purpose": "LOCATION",
            "city": "Hamlet",
            "state": "NC",
            "postal_code": "283452623",
            "country_code": "US",
            "telephone_number": "910-719-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DANIELLE",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200905260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

Verify at the official NPI Registry.