Mindy Benton Vergakis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005318 Issued in NC

Practice address

11017 Spice Hollow CT
Charlotte, NC 28277-0407

Phone

(704) 704-5779

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1003941642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 SPICE HOLLOW CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770407",
            "telephone_number": "704-704-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 SPICE HOLLOW CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770407",
            "telephone_number": "704-704-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGAKIS",
        "first_name": "MINDY",
        "middle_name": "BENTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106542",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Ventura
• Jamie Lyn Venzian, LPC, LMHC
• Casey Nicole Vera, PNP-PC
• Natalia Verbytska
• Buffy A. Veres, CRNA
• David A Verhaagen, PH.D.
• Verifi Charlotte LLC
• Verimed, LLC
• Sarah Mulkey Verink, PA
• Veritas Collaborative Charlotte, LLC (The Emily Program)

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.