Charise Atiba, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012800 Issued in NC

Practice address

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374

Phone

(980) 302-8611

NPI assigned

Jun 4, 2017

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charise.atiba.1@12871.direct.athenahealth.com

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

• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS - McGill Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Concord, NC
  • NPI 1396782710

  Single Specialty

  Medicare reassignment NPD
• Cabarrus Rowan Community Health Centers, Inc.

  dba Aphs - Salisbury Health Center

  • Federally Qualified Health Center (FQHC)
  • Salisbury, NC
  • NPI 1336780576
  NPD
• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS-China Grove Family Medicine

  • Federally Qualified Health Center (FQHC)
  • China Grove, NC
  • NPI 1528304235
  NPD

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1033648076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-488-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 460",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103374",
            "telephone_number": "980-302-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 Highway 34",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "NJ",
            "postal_code": "077471948",
            "country_code": "US",
            "telephone_number": "732-290-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIBA",
        "first_name": "CHARISE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05723900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepti Mahesh Athavale, MD
• Athena Vu DDS PLLC 2 (Uptown Dentistry)
• Athena Vu DDS PLLC 3
• Janet Louise Athey, PHD
• Athleterx Chiropractic and Recovery PLLC
• Lindsey Atiyeh, D.D.S.
• Amelia Atkins, DNAP
• Carley Chardukian Atkins, NP
• Christopher Ryan Atkins, MD
• Georgwuan Atkins

• 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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.