Active NPI
Yoshicazu D Nagaishi, MSW
- Marriage & Family Therapist
- Winston Salem, NC
National Provider Identifier
1770680969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 117
- Practice address
- 610 Coliseum Dr
Winston Salem, NC 27106-5325 - Phone
- (336) 722-8173
- Fax
- (336) 724-6491
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-000068 | NC | |
| Marriage & Family Therapist | 106H00000X | 117 | NC | Primary |
Addresses
Primary practice location
610 Coliseum Dr
Winston Salem, NC 27106-5325
Mailing address
610 Coliseum Dr
Winston Salem, NC 27106-5325
Phone (336) 722-8173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61759 | Other | NC | BLUE CROSS/BLUE SHIELD |
| 6003377 | Medicaid | NC |
Other names 1
- Yoshi Nagaishi
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 |
|---|---|---|---|
| 117 | NC | MD | Pastoral Counselor |
| C-000068 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Winston Salem, NC
- NPI 1225108707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770680969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 COLISEUM DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065325",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 COLISEUM DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065325",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAISHI",
"first_name": "YOSHICAZU",
"middle_name": "D",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C-000068",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "61759",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003377",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YOSHI",
"last_name": "NAGAISHI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.