Individual provider Active NPI

Brittany Wharton, LCSW, LCAS-A

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1972068112
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013214 Issued in NC
Practice address
1485 Yellow Ribbon Dr Apt Q
Fayetteville, NC 28314-3129
Phone
(910) 258-2063
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24810 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X P012445 NC
Clinical Social Worker 1041C0700X C013214 NC Primary

Addresses

Primary practice location

1485 Yellow Ribbon Dr Apt Q
Fayetteville, NC 28314-3129

Mailing address

1485 Yellow Ribbon Dr Apt U
Fayetteville, NC 28314-3129
Phone (910) 258-2063

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210514001935 NC Practitioner - Clinical Social Worker 9830508209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013214NCMDClinical Social Worker
P012445NCMDClinical Social Worker
24810NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebirth-Heart and Mind PLLC Addiction (Substance Use Disorder) CurrentSince Dec 1, 2024 Accepting new patients
Best Day Psychiatry and Counseling, PC Professional CurrentSince Apr 29, 2021 Accepting new patients
Best Day Psychiatry and Counseling, PC Multi-Specialty CurrentSince Apr 29, 2021 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

351 Wagoner Dr
Ste 411
Fayetteville, NC 28303
Phone (910) 302-7226

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1972068112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 YELLOW RIBBON DR APT U",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143129",
            "telephone_number": "910-258-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 YELLOW RIBBON DR APT Q",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143129",
            "telephone_number": "910-258-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "BRITTANY",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012445",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.