Individual provider Active NPI

Cynthia A Shealy, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1972643070
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005171 Issued in NC
Practice address
67 Charlotte St
Asheville, NC 28801-2435
Phone
(828) 505-6946
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005171 NC Primary

Addresses

Primary practice location

67 Charlotte St
Asheville, NC 28801-2435

Mailing address

67 Charlotte St
Asheville, NC 28801-2435
Phone (828) 505-6946

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
I20100507000061 NC Practitioner - Clinical Social Worker 8224166558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 /2 Eagle St
Suite O
Asheville, NC 28801-3795
Phone (828) 505-6946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Shealy, LCSW, PA Clinical CurrentSince Jan 24, 2017 Accepting new patients
Jenny Shealy, LCSW PA Past Accepting new patients

Locations

67 Charlotte St
Asheville, NC 28801
Phone (828) 279-5369

13 Eagle St
Ste O
Asheville, NC 28801
Phone (828) 505-6946

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1972643070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CHARLOTTE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012435",
            "telephone_number": "828-505-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CHARLOTTE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012435",
            "telephone_number": "828-505-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.