BEVERLY A WICKER (NPI# 1245558154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245558154 |
| Entity Type | Individual |
| Full Name | BEVERLY A WICKER |
| Credential | LCSW, LCAS, CCS |
| Practice Address |
201 Shannon Oaks Cir Ste 200 Cary NC 27511 |
| Mailing Address |
345 Carthage St Sanford NC 27330-4206 |
| Practice Telephone | 9194154244 |
| Practice Fax Number | 8776005440 |
| Mailing Telephone | 9197741131 |
| Mailing Fax Number | 8776005440 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-2039 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006796 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6007548 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 Bracken St, Sanford, NC 273303925 | 9194154244 | 8776005440 |
| 201 Shannon Oaks Cir Ste 200, Cary, NC 275115570 | 9194154244 | 8776005440 |
| Street Address |
201 SHANNON OAKS CIR STE 200 |
| City | CARY |
| State | NC |
| Zip Code | 27511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073649133 | Susan Orenstein | Psychologist | 201 Shannon Oaks Cir Ste 200, Cary, NC 27511-5570 | 2007-02-25 |
| 1245718642 | Blizzard Health Services | Home Health | 201 Shannon Oaks Cir Ste 200, Cary, NC 27511-5570 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400130 | Morgan Rudd | Social Worker | 534 Brisbane Woods Way, Cary, NC 27518-9249 | 2020-09-03 |
| 1568071587 | Mary Lynn Marus | Social Worker | 117 Bathgate Ln, Cary, NC 27513-5553 | 2020-07-27 |
| 1215566526 | Bloomed Within Pllc | Social Worker | 964 High House Rd, Cary, NC 27513-3574 | 2020-04-07 |
| 1639703804 | Fatima Funderburk | Social Worker | 1038 Alston Village Ln, Cary, NC 27519-1870 | 2020-02-26 |
| 1235692187 | Haley Dawn Moore | Social Worker | 900 Maroubra Loop Apt 8207, Cary, NC 27513-8850 | 2019-04-08 |
| 1861950230 | Lynn Rosan Morris | Social Worker | 211 Cranborne Ln, Cary, NC 27519-5917 | 2019-03-05 |
| 1497231393 | Hayat Shawwa | Social Worker | 5232 Koster Hill Pl, Cary, NC 27518-9270 | 2018-07-13 |
| 1396233532 | Alexis Gunipero Bunt | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-04-24 |
| 1306359740 | Jenique Taylor | Social Worker | 117 Mint Hill Dr, Cary, NC 27519-6930 | 2017-11-07 |
| 1326558933 | Nehal Outlaw | Social Worker | 124 Fox Briar Ln, Cary, NC 27518-8304 | 2017-10-09 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.