Active NPI
Willimae Scott, LCSWA, LCASA
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1760893671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008594
- Practice address
- 4328 Reedy Fork Pkwy
Greensboro, NC 27405-8271 - Phone
- (336) 303-9525
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3098-A | NC | |
| Clinical Social Worker | 1041C0700X | P008594 | NC | Primary |
Addresses
Primary practice location
4328 Reedy Fork Pkwy
Greensboro, NC 27405-8271
Mailing address
4328 Reedy Fork Pkwy
Greensboro, NC 27405-8271
Phone (336) 303-9525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3098-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P008594 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1760893671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 REEDY FORK PKWY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274058271",
"telephone_number": "336-303-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 REEDY FORK PKWY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274058271",
"telephone_number": "336-303-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "WILLIMAE",
"credential": "LCSWA, LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3098-A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.