SHELLY MARIE LUTTMAN PHELPS (NPI# 1447643325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447643325 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE LUTTMAN PHELPS |
| Credential | LCSW |
| Practice Address |
360 N Caswell Rd Charlotte NC 28204 |
| Mailing Address |
12107 Monteith Grove Dr Huntersville NC 28078-4257 |
| Practice Telephone | 9175835508 |
| Mailing Telephone | 9175835508 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C008789 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14636 Reese Blvd W Ste B3, Huntersville, NC 280787956 | 9175835508 | |
| 363 Williamson Rd, Suite 102, Mooresville, NC 281175973 | 9175835508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841598174 | Shelly Marie Phelps | Psychologist | 4200 W Michigan Ave, Suite 211, Kalamazoo, MI 49006-5892 | 2011-03-10 |
| Street Address |
360 N CASWELL RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891861431 | Heather L Douglas | Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2006-11-27 |
| 1053798017 | Carrie Lynn Patterson Barto | Counselor | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2015-04-29 |
| 1689009565 | Ama Owusuaa | Counselor | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2013-09-10 |
| 1881932333 | Jenna E Wilson | Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2013-01-17 |
| 1326311697 | Rush Counseling Services | Community/Behavioral Health | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2012-02-17 |
| 1013205459 | Emily Teague Palmieri | Counselor | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2011-07-19 |
| 1477602779 | Amanda L Lis | Marriage & Family Therapist | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2007-01-09 |
| 1891850970 | Laura H Frohboese | Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in CHARLOTTE | ||||
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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.