Individual provider Active NPI

Rebecca Lynn Wright, MSW, LCSWA

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1982360889
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016991 Issued in NC
Practice address
635 Cox Rd Ste B
Gastonia, NC 28054-3441
Phone
(704) 691-7561
Fax
(704) 691-7563
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 P016991 NC Primary

Addresses

Primary practice location

635 Cox Rd Ste B
Gastonia, NC 28054-3441

Mailing address

1809 Swan Dr
Charlotte, NC 28216-5922
Phone (570) 205-0605

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
I20240625000850 NC Practitioner - Clinical Social Worker 0840733366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

10430 Harris Oak Blvd
Suite L
Charlotte, NC 28269-7513
Phone (704) 317-2930

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

7490 Waterside Crossing Blvd
Suite 2a
Denver, NC 28037-3004
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P016991NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Adolescent Center, Inc. Clinical PastSince Nov 1, 2021 Accepting new patients

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1982360889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SWAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165922",
            "telephone_number": "570-205-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COX RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543441",
            "telephone_number": "704-691-7561",
            "fax_number": "704-691-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.