Alyssa Dawn Bain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012961 Issued in NC

Practice address

146 Fox Hollow Rd
Cullowhee, NC 28723-5128

Phone

(828) 283-0035

Fax

(828) 544-1201

NPI assigned

Jun 19, 2017

Last updated

May 6, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Youth Villages, Inc.

  • Community/Behavioral Health Agency
  • Bartlett, TN
  • NPI 1306875695
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1881124170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 FOX HOLLOW RD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287235128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 FOX HOLLOW RD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287235128",
            "telephone_number": "828-283-0035",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "367 Dellwood Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287863135",
            "country_code": "US",
            "telephone_number": "828-454-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIN",
        "first_name": "ALYSSA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakya Star Anders
• Brian T. Angelotti, ATC
• Tom P Archer, M.D
• Jose Oscar Arias Arellano
• Jordan Bailey
• Stefanie Elise Balch
• Sierra J Baron
• Sundae Rose Battleson
• Haley Christine Bennington
• Grace Bingham, BA

• Clinical Social Worker in Cullowhee, NC
• Providers in Cullowhee, 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 May 6, 2021; 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.