Individual provider Active NPI

Stephanie Rhyne Wethrington, MSW,LCSW, LCAS, CCS

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1801170261
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007364 Issued in NC
Practice address
3920-B Old Cherry Point Rd
New Bern, NC 28560
Phone
(252) 571-6706
Fax
(877) 422-1279
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 C007364 NC Primary

Addresses

Primary practice location

3920-B Old Cherry Point Rd
New Bern, NC 28560

Mailing address

3920-B Old Cherry Point Rd
New Bern, NC 28560
Phone (252) 571-6706

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
I20120327000751 NC Practitioner - Clinical Social Worker 3779743844 Practice locations: New Bern, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3920 B Old Cherry Point Rd
New Bern, NC 28560-7067
Phone (252) 631-6322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007364NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1801170261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920-B OLD CHERRY POINT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28560",
            "telephone_number": "252-571-6706",
            "fax_number": "877-422-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920-B OLD CHERRY POINT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28560",
            "telephone_number": "252-571-6706",
            "fax_number": "877-422-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHRINGTON",
        "first_name": "STEPHANIE",
        "middle_name": "RHYNE",
        "credential": "MSW,LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.