Organization Active NPI

Cindy Shealy, LCSW, PA

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1982124814
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005171 Issued in NC
Legal business name
CINDY SHEALY, LCSW, PA
Practice address
67 Charlotte St
Asheville, NC 28801-2435
Phone
(828) 505-6946
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Ms. Cynthia Anne Shealy, LCSWNPI 1972643070
Title
Social Worker
Phone
(828) 505-6946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C005171 NC Primary

Addresses

Primary practice location

67 Charlotte St
Asheville, NC 28801-2435

Mailing address

8 Tarpon Ave
Asheville, NC 28806-3122
Phone (828) 505-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629001036 NC Part B Supplier - Clinic/Group Practice 3072882356 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1982124814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TARPON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063122",
            "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": {
        "organization_name": "CINDY SHEALY, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "828-505-6946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.