Individual provider Active NPI

Adriana Londono, LCSWA, LCASA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1831704691
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015556 Issued in NC
Practice address
418 Person St Ste 103
Fayetteville, NC 28301-5886
Phone
(910) 483-0958
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-26560 NC
Clinical Social Worker 1041C0700X C015556 NC Primary

Addresses

Primary practice location

418 Person St Ste 103
Fayetteville, NC 28301-5886

Mailing address

6936 Wadsworth PL
Fayetteville, NC 28314-1172
Phone (910) 723-7748

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

LicenseStateTypeSpecialty
LCAS-26560NCMDAddiction (Substance Use Disorder) Counselor
C015556NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Selfly Enterprise PLLC Addiction (Substance Use Disorder) CurrentSince Dec 17, 2023 Accepting new patients
Metro Treatment of North Carolina L P CurrentSince Nov 8, 2025 Accepting new patients
Metro Treatment of North Carolina L P PastSince Sep 13, 2020 Accepting new patients

Locations

418 Person St
Ste 103
Fayetteville, NC 28301
Phone (910) 483-0958

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1831704691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 WADSWORTH PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141172",
            "telephone_number": "910-723-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 PERSON ST STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015886",
            "telephone_number": "910-483-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "ADRIANA",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.