Active NPI
Phillip Edward Wilson, LCSW-A
- Clinical Social Worker
- Burlington, NC
National Provider Identifier
1932088820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P022625
- Practice address
- 963 Kirkpatrick Rd
Burlington, NC 27215-8911 - Phone
- (336) 421-2471
- NPI assigned
- Aug 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P022625 | NC | Primary |
Addresses
Primary practice location
963 Kirkpatrick Rd
Burlington, NC 27215-8911
Mailing address
PO Box 24332
Winston Salem, NC 27114-4332
Phone (980) 333-2272
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 |
|---|---|---|---|
| P022625 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1932088820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24332",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271144332",
"telephone_number": "980-333-2272",
"fax_number": "980-333-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 KIRKPATRICK RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158911",
"telephone_number": "336-421-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PHILLIP",
"middle_name": "EDWARD",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P022625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.