Individual provider Active NPI

Reeshonaw Farrish, LCSWA

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1811504731
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014908 Issued in NC
Practice address
319 S Westgate Dr Ste H
Greensboro, NC 27407-1632
Phone
(828) 655-3113
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 P014908 NC Primary

Addresses

Primary practice location

319 S Westgate Dr Ste H
Greensboro, NC 27407-1632

Mailing address

319 S Westgate Dr Ste H
Greensboro, NC 27407-1632
Phone (828) 655-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20241205004275 NC Practitioner - Clinical Social Worker 1557897170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Telecare, Inc. CurrentSince Aug 28, 2024 Accepting new patients
Strategic Interventions, LLC PastSince Oct 4, 2020 Accepting new patients
Whispering Willows Counseling Services, PLLC Clinical PastSince Sep 1, 2020 Accepting new patients

Locations

1324 Coltrane Mill Rd
Randleman, NC 27317
Phone (336) 574-6293

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1811504731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S WESTGATE DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071632",
            "telephone_number": "828-655-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S WESTGATE DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071632",
            "telephone_number": "828-655-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRISH",
        "first_name": "REESHONAW",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.