Richard O'Neale Atkinson IV, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015440 Issued in NC

Practice address

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907

Phone

(704) 364-6594

Fax

(704) 364-6596

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Services of Greater Charlotte IncGroup PAC ID 4587616586, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jewish Family Services of Greater Charlotte, Inc

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1083691695
  Medicare reassignment Care Compare group NPD
• Wisteria Counseling and Consulting

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1679151302
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1043929896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12827 MOSBY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734842",
            "telephone_number": "803-519-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "704-364-6594",
            "fax_number": "704-364-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 LaMar Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042436",
            "country_code": "US",
            "telephone_number": "704-561-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "RICHARD",
        "middle_name": "O'NEALE",
        "name_suffix": "IV",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviona Atkinson
• Carlea Atkinson, LCMHCA
• Elexander Neel Atkinson, DO
• Jared Williams Atkinson, M.D.
• Nicole Atkinson
• Shanah Antoinette Atkinson, CRNA
• Shikilia Atkinson
• Sonia Z. Atkinson
• Atlantic Coast Home Care
• Atlantic Coast Orthopedic Medical Supplies

• 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 Jul 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.