Active NPI
Allison Eddy, LCSWA
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1972112753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P013714
- Practice address
- 725 Wellington Ave
Wilmington, NC 28401-7652 - Phone
- (704) 942-0222
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | P013714 | NC | Primary |
Addresses
Primary practice location
725 Wellington Ave
Wilmington, NC 28401-7652
Mailing address
4115 Breezewood Dr Apt 202
Wilmington, NC 28412-5134
Phone (704) 942-0222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://login.cbh2.crediblebh.com/Login.html? | Health Information Exchange (HIE) | ACCESS FAMILY SERVICES, INC. |
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 |
|---|---|---|---|
| P013714 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allison Eddy, LCSW, PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Weaverville, NC
- NPI 1619760881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1972112753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 BREEZEWOOD DR APT 202",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284125134",
"telephone_number": "704-942-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELLINGTON AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017652",
"telephone_number": "704-942-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "ALLISON",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2023-11-27",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013714",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://login.cbh2.crediblebh.com/Login.html?",
"affiliation": "Y",
"endpointDescription": "Electronic health record",
"affiliationName": "ACCESS FAMILY SERVICES, INC.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Electronic health record",
"address_1": "725 Wellington Ave",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.