Individual provider Active NPI

Wakeelah Tamikka Gilmore, MSW/LCSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1992041974
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO13064 Issued in NC
Practice address
600 New Waverly PL Ste 203
Cary, NC 27518-7404
Phone
(919) 410-7083
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012154 NC
Clinical Social Worker 1041C0700X P006718 NC
Clinical Social Worker 1041C0700X CO13064 NC Primary

Addresses

Primary practice location

600 New Waverly PL Ste 203
Cary, NC 27518-7404

Mailing address

28741 Aberdeen Rd
Marston, NC 28363-8421
Phone (910) 206-9183

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
I20201229002351 NC Practitioner - Clinical Social Worker 7618380197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

600 New Waverly PL
Suite 203
Cary, NC 27518-7404
Phone (919) 859-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO13064NCMDClinical Social Worker
P006718NCMDClinical Social Worker
P012154NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Neuropsychology PLLC CurrentSince Jan 1, 2023 Accepting new patients
RDMG Associates, PA Clinical Current Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Apr 17, 2023 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Apr 17, 2023 Accepting new patients

Locations

600 New Waverly Pl
Ste 203
Cary, NC 27518
Phone (919) 410-7083

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

4003 N Roxboro St
Durham, NC 27704
Phone (919) 220-3333

2931 Breezewood Ave
Ste 100
Fayetteville, NC 28303
Phone (910) 677-0000

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

Interoperability endpoints

  • Direct secure messaging: wakeelahgilmore@rdmgbh.allscriptsdirect.net

Organizations & group practices 4

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1992041974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28741 ABERDEEN RD",
            "city": "MARSTON",
            "state": "NC",
            "postal_code": "283638421",
            "telephone_number": "910-206-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-410-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "WAKEELAH",
        "middle_name": "TAMIKKA",
        "credential": "MSW/LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006718",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO13064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.