Emil Eichelberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012907 Issued in NC

Practice address

2575 Woodberry Dr
Winston Salem, NC 27106-4622

Phone

(757) 375-9792

NPI assigned

Oct 4, 2017

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

• Thrive Wellness Center

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1316651490

  Clinical

  Medicare reassignment NPD
• Bathory International PLLC

  • Psychologist
  • Winston Salem, NC
  • NPI 1356703797
  NPD (past)
• David Young Oh, LLC

  dba Radical Healing Arts, LLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1386175602

  Clinical

  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1902316920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 WOODBERRY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 WOODBERRY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064622",
            "telephone_number": "757-375-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 W Cone Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274084067",
            "country_code": "US",
            "telephone_number": "336-542-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "EMIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SOCIAL WORK CERTIF #",
            "identifier": "P011328",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "C012907",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Adam Edwards, PHARMD
• Trent Edwards
• Wanda Edwards
• Maxim A Efremov, ACNP
• Amie M Egbuniwe, LCSW
• Julia Ruth Eick
• James Conrad Eisenach, MD
• Frehiwot Ejigu
• Nadine El Awar David
• Amr Sherif Mohamed Rifaa El Haraki, MD

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, 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 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.