CAROLINA OUTREACH, LLC (NPI# 1518110139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518110139 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
18 Regent Park Blvd Ste A Asheville NC 28806-3727 |
| Mailing Address |
2670 Durham Chapel Hill Blvd Durham NC 27707-2829 |
| Practice Telephone | 8285051762 |
| Practice Fax Number | 8285051763 |
| Mailing Telephone | 9192519001 |
| Mailing Fax Number | 9192519008 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | MS. WILLOW BURGESS-JOHNSON (DIRECTOR, CAROLINA OUTREACH WEST) |
| Authorized Official Telephone | 8285051762 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| Street Address |
18 REGENT PARK BLVD STE A |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28806-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114112638 | Jeremy Barrett Bricker | Counselor | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2007-09-07 |
| 1457874307 | Family Preservation Services of North Carolina, Inc. | Community/Behavioral Health | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2017-07-24 |
| 1578946414 | Melissa Lopez | Counselor | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2015-07-08 |
| 1457747008 | Heidi Germano | Counselor | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2015-04-10 |
| 1144638974 | Shannon Spillane | Social Worker | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2014-07-24 |
| 1487075701 | Melissa Hall | Nurse Practitioner | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2014-01-06 |
| 1508207036 | Doreen Morici | Social Worker | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2013-07-12 |
| 1194083618 | Laura Marie Cleaveland | Social Worker | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2012-05-03 |
| 1487971412 | Jesse Gronback | Counselor | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2010-04-30 |
| 1467776047 | Rachel M Suddarth | Counselor | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442989 | Kristen Duchac | Registered Nurse | 711 New Leicester Highway, Appalachian Mountain Community Health Center, Leicester, NC 28806 | 2020-03-23 |
| 1457905994 | Sarah Davidson | Social Worker | 1316 D Patton Ave, Asheville, NC 28806 | 2019-08-01 |
| 1578128880 | Ingles Markets Inc | Pharmacy | 151 Smokey Park Hwy, Asheville, NC 28806 | 2019-05-02 |
| 1215403191 | Heather Lynne Parente | Counselor | 110 Ridgefield Blvd., Suite 190, Asheville, NC 28806 | 2018-10-18 |
| 1790250629 | Kathy Arlene Whiteside | Social Worker | Family Preservation Services, 1316 D Patton Ave, Asheville, NC 28806 | 2018-10-08 |
| 1467947036 | Gabrielle Lahowitch | Social Worker | 44 Robinwood Ave, Asheville, NC 28806 | 2018-06-26 |
| 1205326204 | Elizabeth R Guest | Counselor | 1316d Patton Ave, Asheville, NC 28806 | 2018-05-15 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1063941458 | Callan White Dds, Pllc | Dentist | 655 Brevard Road, Asheville, NC 28806 | 2017-06-08 |
| 1134668098 | Ellen Minier | Nurse Practitioner | 23 Westmont Drive, Asheville, NC 28806 | 2017-02-13 |
| Find all providers in zip 28806 | ||||
| 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 |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1700497534 | Jean Rowe | Social Worker | 152d La Mancha Dr Apt D, Asheville, NC 28805-2103 | 2020-08-14 |
| 1356952410 | Sarah Dearing Davis | Social Worker | 39 Clyde St Apt A, Asheville, NC 28801-1975 | 2020-08-12 |
| 1033720214 | Jonathan Gray Dismukes | Social Worker | 25 Mineral Springs Rd, Asheville, NC 28805-1761 | 2020-08-12 |
| 1811518459 | Anne Dudley Riddle | Social Worker | 22 Lamar Ave, Asheville, NC 28803-8608 | 2020-05-06 |
| 1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
| 1306493481 | Christopher P Chardos | Social Worker | 5 Harmony Ln, Asheville, NC 28803-1319 | 2019-08-22 |
| 1659927481 | New Growth LLC | Social Worker | 34 Wall St Ste 707, Asheville, NC 28801-2805 | 2019-08-16 |
| 1104471762 | Kerry C Irish | Social Worker | 184 E Chestnut St Ste 1, Asheville, NC 28801-2378 | 2019-08-09 |
| 1457905994 | Sarah Davidson | Social Worker | 1316 D Patton Ave, Asheville, NC 28806 | 2019-08-01 |
| Find all providers in ASHEVILLE | ||||
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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.