Active NPI
Charles White
- Clinical Social Worker
- Taylorsville, NC
National Provider Identifier
1003667924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150110766
- Practice address
- 395 3Rd Ave SW
Taylorsville, NC 28681-4180 - Phone
- (099) 353-2922
- NPI assigned
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020412 | NC | |
| Clinical Social Worker | 1041C0700X | 150110766 | IL | Primary |
Addresses
Primary practice location
395 3Rd Ave SW
Taylorsville, NC 28681-4180
Mailing address
862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154
Phone (704) 659-4707
Other practice location 1
862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154
Phone (704) 659-4707 ext. 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150110766 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| May & Associates Therapy Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Mooresville, NC
- NPI 1679044416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1003667924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 BRAWLEY SCHOOL RD STE 202",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178154",
"telephone_number": "704-659-4707",
"fax_number": "980-444-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 3RD AVE SW",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286814180",
"telephone_number": "099-353-2922"
}
],
"practiceLocations": [
{
"address_1": "862 Brawley School Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178154",
"country_code": "US",
"telephone_number": "704-659-4707 x1",
"fax_number": "980-444-3841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-28",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020412",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150110766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.