KELLY LOUISE CHARLES (NPI# 1467791186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791186 |
| Entity Type | Individual |
| Full Name | KELLY LOUISE CHARLES |
| Credential | MSW, LCSW, CSOTS |
| Practice Address |
2589 E Main St Ste 102 Lincolnton NC 28092 |
| Mailing Address |
2589 E Main St Ste 102 Box 2 Lincolnton NC 28092-4149 |
| Practice Telephone | 9802630458 |
| Practice Fax Number | 9802250537 |
| Mailing Telephone | 9802630458 |
| Mailing Fax Number | 9802250537 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C008679 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6025 Winged Elm Ct, Charlotte, NC 282121676 | 7044218746 |
| Street Address |
2589 E MAIN ST STE 102 |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194124933 | Charles Counseling & Consulting | Community/Behavioral Health | 2589 E Main St Ste 102, Lincolnton, NC 28092-4149 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373332 | Steven Garrett Werkman | Dentist | 1432 E. Main St, Lincolnton, NC 28092 | 2019-08-30 |
| 1194288746 | Karl Stanley Espanola Baquiran | Physical Therapist | 815 N. Generals Blvd, Suite D, Lincolnton, NC 28092 | 2019-04-10 |
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1568959385 | Shalini Tailor | Dentist | 1432 E Main Street, Lincolnton, NC 28092 | 2018-04-17 |
| 1053760942 | Comprehab Inc | Clinic/Center | 18 North Generals Blvd., Lincolnton, NC 28092 | 2016-06-10 |
| 1013389816 | Joshua Tallent | Counselor | 701 S Laurel St Ste 3, Lincolnton, NC 28092 | 2015-10-20 |
| 1619352838 | Tamara Michelle Bivins Vead | Physical Therapist | 1244 North Flint St., Suite 5, Lincolnton, NC 28092 | 2015-07-29 |
| 1861802555 | Jessica Bookbinder Rhodes | Obstetrics & Gynecology | 447 Mcalister Rd Ste 3500, Lincolnton, NC 28092 | 2014-05-02 |
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| 1225323546 | Gary Dean Cornwell | Pharmacist | 609 North Oak Street, Lincolnton, NC 28092 | 2011-06-15 |
| Find all providers in zip 28092 | ||||
| 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 |
|---|---|---|---|---|
| 1215570841 | Kathryn Jennette Journigan-douglas | Social Worker | 327 N Laurel St, Lincolnton, NC 28092-2911 | 2019-10-27 |
| 1306250949 | Samuel Mitchell Rosen | Social Worker | 128 Performance Dr, Lincolnton, NC 28092-8543 | 2014-06-11 |
| 1780783589 | Janet I Taylor | Social Worker | 1851 Buffalo Run, Lincolnton, NC 28092-7710 | 2006-09-21 |
| 1215965850 | Loquita Dawn Roberts | Social Worker | 1301 Springdale Park Dr, Lincolnton, NC 28092-8675 | 2006-06-30 |
| 1457354615 | Regina Bell Haynes | Social Worker | 204 E Main St, Suite F, Lincolnton, NC 28092-3356 | 2005-05-23 |
| 1184231763 | Tina N Le | Social Worker | 128 Performance Dr, Lincolnton, NC 28092-8543 | 2020-09-28 |
| 1194332296 | Mackenzie Rockett | Social Worker | 530 E Main St, Lincolnton, NC 28092-3410 | 2020-09-23 |
| 1720696784 | Anna Diggs | Social Worker | 212 Gamble Dr, Lincolnton, NC 28092-4421 | 2020-07-16 |
| 1801404025 | Nicole Clark | Social Worker | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2020-07-14 |
| 1124659297 | Rosa Perez Espinosa | Social Worker | 117 N Poplar St, Lincolnton, NC 28092-3315 | 2020-01-28 |
| Find all providers in LINCOLNTON | ||||
| City | LINCOLNTON |
| Zip Code | 28092 |
Please comment or provide details below to improve the information on KELLY LOUISE CHARLES.
| 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.