Seton Smiell-Koons Ennis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017445 Issued in NC

Practice address

6112 Saint Giles St
Raleigh, NC 27612-7043

Phone

(919) 893-4465

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advaita Integrated Medicine PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1437727088
  Medicare reassignment NPD
• Avance Care, PA

  • Clinic/Center
  • Fuquay Varina, NC
  • NPI 1487845020
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1841053469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "919-893-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "919-893-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "SETON",
        "middle_name": "SMIELL-KOONS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas English, PH.D.
• Engstrom & Cheek, DDS, Ms, PLLC
• Todd G Engstrom, DDS
• Enlightening Nurturance, Inc.
• Jennifer Heer Ennis, R.N.,C
• Enoc Madero
• Tameka Enoch, LMBT
• Carrie A Enright, P.A.-C
• Danielle Enrique, LAT, ATC
• Scott Donald Ensell, ATC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.