Rosemary Wiseman Wallio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001621 Issued in NC

Practice address

905 Halstead Blvd Ste 21
Elizabeth City, NC 27909-6816

Phone

(252) 331-0322

Fax

(252) 331-0320

NPI assigned

May 30, 2013

Last updated

May 30, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1770920811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 POSSUM QUARTER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099390",
            "telephone_number": "252-312-3556",
            "fax_number": "252-331-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 21",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "252-331-0322",
            "fax_number": "252-331-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIO",
        "first_name": "ROSEMARY",
        "middle_name": "WISEMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10132)
• Amelia Morgan Walker, LCSW
• Emily Jane Walker
• Geraldine Walker, LCAS
• Mary Etheridge Wallace, LPC
• Rebecca Elizabeth Wallman, PA
• Elizabeth Rae Wanzer, CRNA
• Marie Latendresse Ward, M.S., R.D., C.D.E.
• Greg A Warren, DO
• Jennifer Warren

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, 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 May 30, 2013; 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.