Telisa Dawn Pharris, MSW, LCSWA, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011310 Issued in NC

Practice address

1872 Spiralwood Dr
Fayetteville, NC 28304-0498

Phone

(910) 988-3323

NPI assigned

Jun 28, 2016

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Integrated Behavioral Healthcare Services, PAGroup PAC ID 8729040316, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Behavioral Healthcare Services, PA

  • Psychologist
  • Fayetteville, NC
  • NPI 1689842551

  Mental Health

  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242

  Multi-Specialty

  Medicare reassignment NPD
• Inspiring Change PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1982251104

  Clinical

  Medicare reassignment NPD
• Renew Counseling Center of NC LLC

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1528470325

  Mental Health

  Medicare reassignment NPD
• Cumberland County Hospital System Inc

  dba Community Mental Health Center at Cape Fear Valley

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1578996252

  Clinical

  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743

  Multi-Specialty

  NPD
• Acceptance Pathway Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1013764281

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1871944124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 SPIRALWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040498",
            "telephone_number": "910-988-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 SPIRALWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040498",
            "telephone_number": "910-988-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARRIS",
        "first_name": "TELISA",
        "middle_name": "DAWN",
        "credential": "MSW, LCSWA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P010233",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela D Petty, LMFT
• Maggie Marie Petty, DPT
• Emily Becker Pevtsov, PA-C
• Yonesha Val Phair, D.D.S
• My Pham, PHARMD
• Phases Recovery Community PLLC
• PHCP
• William Charles Philbrick, OD
• Judith Ann Philbrook, NNP
• Phillips Eye, PLLC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Mar 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.