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BRELAND M WIGFALL LCSWA
NPI 1255012795
Social Worker - Clinical in Rock Hill, SC

Active since July 27, 2023PECOS Enrolled
1721 EBENEZER RD STE 225, ROCK HILL, SC 29732(803) 329-9639 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breland M Wigfall Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRELAND M WIGFALL LCSWA (NPI 1255012795) is an individual clinical provider in Rock Hill, South Carolina, licensed in North Carolina (P014807) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255012795
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRELAND M WIGFALLCredential: LCSWA
Location Address1721 EBENEZER RD STE 225Rock Hill, SC 29732-1119
Mailing Address1721 Ebenezer Rd Ste 225Rock Hill, SC 29732-1119 · (803) 329-9639
Phone(803) 329-9639
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
✔ NPI 1255012795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P014807
Definition
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.
1721 EBENEZER RD STE 225, Rock Hill, SC 29732
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breland M Wigfall Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678068533
PECOS Enrollment IDI20251218002876
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BEIRNE FLICK LPC
Counselor (Professional)
1721 EBENEZER RD STE 225
ROCK HILL, SC 29732
York County (803) 329-9639
REBECCA LANIER MERLI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1721 EBENEZER RD STE 225
ROCK HILL, SC 29732
York County (803) 329-9639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breland Wigfall's NPI number?

The NPI number for Breland Wigfall is 1255012795. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Breland Wigfall located?

Breland Wigfall practices at 1721 Ebenezer Rd Ste 225, Rock Hill, SC 29732. The listed phone number is (803) 329-9639.

What is Breland Wigfall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Breland Wigfall enrolled in Medicare?

Yes. Breland Wigfall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breland Wigfall was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.