Individual provider Active NPI

Heather L Bartlett, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1003554411
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014859 Issued in NC
Practice address
5301 Wilkinson Blvd
Charlotte, NC 28208-5455
Phone
(704) 316-6561
Fax
(704) 384-1977
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014859 NC Primary

Addresses

Primary practice location

5301 Wilkinson Blvd
Charlotte, NC 28208-5455

Mailing address

8401 Medical Plaza Dr Ste 300
Charlotte, NC 28262-8702
Phone (704) 316-6561

Other practice location 1

8401 Medical Plaza Dr Ste 300
Charlotte, NC 28262-8702
Phone (704) 316-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403001090 NC Practitioner - Clinical Social Worker 4385019470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Community Health Clinic, Inc. CurrentSince Dec 20, 2022 Accepting new patients
Charlotte Community Health Clinic, Inc. CurrentSince Dec 20, 2022 Accepting new patients

Locations

8401 Medical Plaza Dr
Ste 300
Charlotte, NC 28262
Phone (704) 316-1800

5301 Wilkinson Blvd
Charlotte, NC 28208
Phone (704) 316-6561

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1003554411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628702",
            "telephone_number": "704-316-6561",
            "fax_number": "704-384-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WILKINSON BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085455",
            "telephone_number": "704-316-6561",
            "fax_number": "704-384-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Medical Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628702",
            "country_code": "US",
            "telephone_number": "704-316-6561",
            "fax_number": "704-384-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.