Paula Jean Ackermann, LCSWA
Individual provider Active NPI Clinical Social Worker · Wilmington, NC
NPI 1922473594 · NPPES record last updated Dec 8, 2015
Key facts
- NPI
- 1922473594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P009986 (NC)
- Practice address
- 810 Midland Dr
Wilmington, NC 28412-6516 - Phone
- (910) 228-4748
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective May 20, 2026 through May 20, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009986 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embodied Therapy PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P009986 | NC | Yes |
Addresses
Primary practice location
810 Midland Dr
Wilmington, NC 28412-6516
Mailing address
810 Midland Dr
Wilmington, NC 28412-6516
Phone (910) 228-4748
Other providers in Wilmington, NC
- Access NC, LLC
- Accordius Health at Wilmington, LLC
- Barbara Lina Acevedo
- Achievements Pediatric Speech-Language Services, Inc.
- Gabrielle Acker
- Elizabeth Acquista
- Act Medical
- Act Medical Group PA
- Act Medical Group, PA
- Acts Community Services Inc
All providers in Wilmington, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.