Provider Demographics
NPI:1720781578
Name:TERWILLIGER, WINDY (LCAS, LCSW)
Entity type:Individual
Prefix:
First Name:WINDY
Middle Name:
Last Name:TERWILLIGER
Suffix:
Gender:F
Credentials:LCAS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 MATTEO DR APT 309
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2117
Mailing Address - Country:US
Mailing Address - Phone:910-352-6533
Mailing Address - Fax:
Practice Address - Street 1:4010 OLEANDER DR STE 7
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6810
Practice Address - Country:US
Practice Address - Phone:910-408-2114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0187661041C0700X
NC28826101YA0400X
NCC0187411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)