Active NPI
Elizabeth Makley, LCSW
- Clinical Social Worker
- Burgaw, NC
National Provider Identifier
1841843935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013476
- Practice address
- 309 Progress Dr
Burgaw, NC 28425-3280 - Phone
- (910) 259-0668
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013080 | NC | |
| Clinical Social Worker | 1041C0700X | C013476 | NC | Primary |
Addresses
Primary practice location
309 Progress Dr
Burgaw, NC 28425-3280
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 991-5907
Other practice location 1
4005 Oleander Dr
Wilmington, NC 28403-6816
Phone (910) 790-9949
Other practice location 2
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 991-5907
Other names 1
- Liz Makley
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
| License | State | Type | Specialty |
|---|---|---|---|
| C013476 | NC | MD | Clinical Social Worker |
| P013080 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1841843935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-991-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 PROGRESS DR",
"city": "BURGAW",
"state": "NC",
"postal_code": "284253280",
"telephone_number": "910-259-0668"
}
],
"practiceLocations": [
{
"address_1": "4005 Oleander Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284036816",
"country_code": "US",
"telephone_number": "910-790-9949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Shipyard Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284126431",
"country_code": "US",
"telephone_number": "910-991-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKLEY",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013080",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "MAKLEY",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Burgaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.