ALEXIS VERONICA LAKE


Address: 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
Phone: 8888497379

ALEXIS VERONICA LAKE (NPI# 1730454729) 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) 1730454729
Entity Type Individual
Full Name ALEXIS VERONICA LAKE
Credential LCSW
Practice Address 10130 Perimeter Pkwy
Ste 200
Charlotte
NC 28216-2447
Mailing Address Po Box 2034
Sylva
NC 28779-2034
Practice Telephone 8888497379
Practice Fax Number 8558577333
Mailing Telephone 8888497379
Mailing Fax Number 8558577333
Enumeration Date 2012-03-09
Last Update Date 2014-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C008457 NC Behavioral Health & Social Service Providers

Other Providers ALEXIS LAKE

NPI Name Taxonomy Address Enumeration
1316273055 Alexis Lake Social Worker 931 Harrisburg Ave Ste 9, Lancaster, PA 17603-2652 2009-11-01

Office Location

Street Address 10130 PERIMETER PKWY
STE 200
City CHARLOTTE
State NC
Zip Code 28216-2447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629025655 William Simpson Sampson Iv Psychologist 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 2006-05-27
1467824672 Dana Aubrey Preston Physician Assistant 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2015-10-27
1225436264 Truly Therapeutic Rehab Solutions, Pllc Clinic/Center 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2014-12-08
1174923163 Carly Davison Social Worker 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 2014-08-27
1083022321 Valer Consulting Counselor 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2014-07-30
1326454752 Lorrie Miller Counselor 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2014-07-07
1346655891 Lisette Jenee-moore Deese Social Worker 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 2014-06-24
1598186843 Scotillia N Mcphaul Occupational Therapist 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2014-01-03
1912338328 Onsite Care Pllc Psychologist 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 2013-12-11
1396015129 Tasheka Shanelle Travers Social Worker 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 2012-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837331 Transit Consortium of South Carolina, LLC Non-emergency Medical Transport (VAN) 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 2020-03-25
1811538796 Strengthening Families Within Communities LLC Community/Behavioral Health 4135 Bryan Furr Drive, Charlotte, NC 28216 2019-10-02
1841705159 Karen Sue Rhea Registered Nurse 4004 Nicole Eileen Lane, Charlotte, ND 28216 2017-12-08
1992225890 Be Free Counseling, Pllc Social Worker 7800 Bridle Court, Charlotte, NC 28216 2017-06-21
1013466416 Roha Solutions, Inc Community Based Residential Treatment Facility, Mental Illness 1529 Jennings St, Charlotte, NC 28216 2016-09-26
1336595826 North Carolina Neurodiagnostics, LLC Clinic/Center 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 2016-05-13
1346600699 Elizabeth Ayodele Agiri Registered Nurse 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 2016-02-29
1922479179 Prashant Patel Pharmacist 9820 Callibridge Court, Charlotte, NC 28216 2015-10-14
1205226685 Sarah Baker Social Worker 10506 Grobie Way Apt 104, Charlotte, NC 28216 2015-01-23
1578967089 The Moon Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4548 Hyperion Court, Charlotte, NC 28216 2014-10-13
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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 28216

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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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