HEARTWOOD PERFORMANCE, PLLC (NPI# 1598250300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598250300 |
| Entity Type | Organization |
| Organization Name | HEARTWOOD PERFORMANCE, PLLC |
| Practice Address |
5960 Fairview Rd Ste 400 Charlotte NC 28210-3119 |
| Practice Telephone | 7044765575 |
| Mailing Telephone | 7044765575 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | BENJAMIN FOODMAN (OWNER) |
| Authorized Official Telephone | 9804940709 |
| Authorized Official Credential | LSCW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C010390 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5960 FAIRVIEW RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437228517 | Janet Louise Athey | Psychologist | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2006-11-06 |
| 1770199473 | Soso,inc. | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2020-09-17 |
| 1396354353 | Vibrant Hearts Home Care LLC | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2020-07-27 |
| 1770091290 | Evergreen Health Care | Home Health | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2018-01-18 |
| 1629219977 | Secured Care Home Health Services of Sc Inc. | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2009-03-17 |
| 1407021173 | Jacqueline Q Sosa | Pediatrics | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| 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.