Individual provider Active NPI

Ambrosia Spaulding, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Clarkton, NC
National Provider Identifier
1962777284
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009552 Issued in NC
Practice address
68 Spaulding LN
Clarkton, NC 28433-6003
Phone
(910) 302-8494
Fax
(910) 679-6348
NPI assigned
Mar 20, 2012
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009552 NC Primary
Clinical Social Worker 1041C0700X 14711 SC
Addiction (Substance Use Disorder) Counselor 101YA0400X 17186-132 WI
Clinical Social Worker 1041C0700X 117368 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS20725 NC
Clinical Social Worker 1041C0700X SW19175 FL
Clinical Social Worker 1041C0700X 11820-123 WI

Addresses

Primary practice location

68 Spaulding LN
Clarkton, NC 28433-6003

Mailing address

68 Spaulding LN
Clarkton, NC 28433-6003
Phone (910) 302-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160302001056 NC Practitioner - Clinical Social Worker 3577869460
I20240809002125 WI Practitioner - Clinical Social Worker 3577869460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS20725NCMDAddiction (Substance Use Disorder) Counselor
17186-132WIMDAddiction (Substance Use Disorder) Counselor
SW19175FLMDClinical Social Worker
11820-123WIMDClinical Social Worker
14711SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Recovery LLC CurrentSince Jun 23, 2024 Accepting new patients
TMC Professional Counseling Service CurrentSince Dec 4, 2023 Accepting new patients
Robeson Health Care Corporation Past Accepting new patients

Locations

1606 Harbour Dr
Wilmington, NC 28401
Phone (910) 399-1695

2460 Delaney Ave
Wilmington, NC 28403
Phone (910) 407-9473

313 Price Pl
Ste 208
Madison, WI 53705
Phone (608) 571-3866

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1962777284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SPAULDING LN",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284336003",
            "telephone_number": "910-302-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SPAULDING LN",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284336003",
            "telephone_number": "910-302-8494",
            "fax_number": "910-679-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "AMBROSIA",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009552",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14711",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17186-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "117368",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS20725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11820-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkton, NC

Sources for this page

Verify at the official NPI Registry.