MRS. KATHRYN ELIZABETH PENDERGRAST


Address: 10801 Johnston Rd, Suite 230, Charlotte, NC 28226-4558
Phone: 7048399208

MRS. KATHRYN ELIZABETH PENDERGRAST (NPI# 1023050432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023050432
Entity Type Individual
Full Name MRS. KATHRYN ELIZABETH PENDERGRAST
Credential LCSW
Practice Address 10801 Johnston Rd
Suite 230
Charlotte
NC 28226-4558
Practice Telephone 7048399208
Mailing Telephone 7048399208
Enumeration Date 2006-06-11
Last Update Date 2008-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C005164 NC Behavioral Health & Social Service Providers

Office Location

Street Address 10801 JOHNSTON RD
SUITE 230
City CHARLOTTE
State NC
Zip Code 28226-4558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104297076 Susan Jean Sabatini Marriage & Family Therapist 10801 Johnston Rd, Suite 107, Charlotte, NC 28226-4558 2015-10-16
1255710711 Bright Cares, Pllc Counselor 10801 Johnston Rd, Suite 121, Charlotte, NC 28226-4558 2015-05-29
1366794455 Center for Sexual Health and Education Obstetrics & Gynecology 10801 Johnston Rd, Suite 121, Charlotte, NC 28226-4558 2012-10-12
1558611335 Mishi Chiropractic & Acupuncture Pllc Chiropractor 10801 Johnston Rd, Ste 107, Charlotte, NC 28226-4558 2012-09-19
1003171216 Denise Doster Social Worker 10801 Johnston Rd, Suite 227, Charlotte, NC 28226-4558 2012-07-13
1588944102 Theresa Gahren Social Worker 10801 Johnston Rd, Suite 206, Charlotte, NC 28226-4558 2011-08-26
1629366737 Kathleen Rolfs Barr Social Worker 10801 Johnston Rd, Suite 230, Charlotte, NC 28226-4558 2011-07-11
1770717829 Todd Andrew Personett Chiropractor 10801 Johnston Rd, Ste 112, Charlotte, NC 28226-7855 2009-05-04
1720105182 Judith Thorne Psychologist 10801 Johnston Rd, Suite 107, Charlotte, NC 28226-4558 2007-03-23
1356476733 Back To Health Chiropractic Clinic, Pllc Chiropractor 10801 Johnston Rd, Suite 112, Charlotte, NC 28226-7855 2007-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841837507 Southeast Vulvar Clinic, Pllc Dermatology 6406 Carmel Road, Suite 309, Charlotte, NC 28226 2019-12-02
1427540012 Kenneth William Riley Jr. Behavioral Analyst 10953 Park Rd., Charlotte, NC 28226 2018-05-31
1780103838 Tamara Andres Specialist/Technologist 2518 Lawton Bluff Rd., Charlotte, NC 28226 2017-09-10
1083132609 Xenon Anesthesia of North Carolina Pllc Anesthesiology 7006 Shannon Willow Road, Charlotte, NC 28226 2017-09-04
1104354117 Lauren Nicole Brindisi Chiropractor 11230 Carmel Commons Blvd., Charlotte, NC 28226 2017-06-03
1346790821 Carolinas Skin Center Pa Plastic Surgery 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 2016-10-10
1871040469 Julie R Jackson Counselor 7810 Prineville-mathews Road, Charlotte, NC 28226 2016-09-01
1518346105 Christopher Abernathy Dentist 3111 Springbank Ln Ste A, Charlotte, NC 28226 2015-05-28
1285067504 Amy N Bullock Physical Therapist 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 2013-08-11
1528405297 Elevate Counseling and Clinical Services, Pllc Community/Behavioral Health 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 2013-06-04
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224727 Kwanza Suzanne Winn Social Worker 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 2020-10-30
1164022570 Directional Care Community Services LLC. Social Worker 6220 Sid Crane Dr, Charlotte, NC 28216-7684 2020-10-27
1710586698 Queen City Psychotherapy Pllc Social Worker 100 Matador Ln Apt 403, Charlotte, NC 28209-3364 2020-10-21
1609474915 Karen Doris Myers Social Worker 2503 Roswell Ave Unit 301, Charlotte, NC 28209-1683 2020-10-09
1750997540 Patricia Mckinney Social Worker 4922 Albemarle Rd Ste 3a, Charlotte, NC 28205-6618 2020-09-17
1487260493 Sarah Mcgeachy Greene Social Worker 1332 Morningside Dr., Charlotte, NC 28205 2020-09-16
1700499753 Kelsey Dawn Miller Social Worker 3635 Manor House Dr, Charlotte, NC 28270-2291 2020-08-28
1104437847 Delilah Mcdonald Social Worker 9812 Aviary Hill Way, Charlotte, NC 28214-7138 2020-08-15
1972114148 Camari Claiborne-scott Social Worker 14026 Dingess Rd, Charlotte, NC 28273-3285 2020-08-12
1366050239 Jacquelyne Aida Tingey Social Worker 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113 2020-07-16
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Competitor

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City CHARLOTTE
Zip Code 28226

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Dataset Information

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.

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