Individual provider Active NPI

Dustin Lee Nisley, MSW, LCSW, CSAM

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1770151037
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016543 Issued in NC
Practice address
475 S Church St Ste 108
Hendersonville, NC 28792-0759
Phone
(828) 513-0989
Fax
(828) 820-5579
NPI assigned
Jun 14, 2021
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 C016543 NC Primary

Addresses

Primary practice location

475 S Church St Ste 108
Hendersonville, NC 28792-0759

Mailing address

475 S Church St Ste 108
Hendersonville, NC 28792-0759
Phone (828) 513-0989

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
I20250725003373 NC Practitioner - Clinical Social Worker 1355858242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 S Church St
Suite 108
Hendersonville, NC 28792-0759
Phone (828) 513-0989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hendersonville Counseling, PLLC CurrentSince Jun 22, 2021 Accepting new patients
Mindful Horizons Counseling, PLLC Clinical CurrentSince Jun 24, 2025 Accepting new patients

Locations

120 Chadwick Square Ct
Ste D
Hendersonville, NC 28739
Phone (828) 215-1063

350 Chadwick Ave
Ste 300
Hendersonville, NC 28792
Phone (828) 595-2202

475 S Church St
Ste 108
Hendersonville, NC 28792
Phone (828) 222-0779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1770151037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S CHURCH ST STE 108",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287920759",
            "telephone_number": "828-513-0989",
            "fax_number": "828-820-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S CHURCH ST STE 108",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287920759",
            "telephone_number": "828-513-0989",
            "fax_number": "828-820-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISLEY",
        "first_name": "DUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, CSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.