Healthcare Provider Details

I. General information

NPI: 1720781578
Provider Name (Legal Business Name): WINDY TERWILLIGER LCAS, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 OLEANDER DR STE 7
WILMINGTON NC
28403-6810
US

IV. Provider business mailing address

1120 MATTEO DR APT 309
WILMINGTON NC
28412-2117
US

V. Phone/Fax

Practice location:
  • Phone: 910-408-2114
  • Fax:
Mailing address:
  • Phone: 910-352-6533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number28826
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP018766
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC018741
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: