Individual provider Active NPI

Maighia Vang, LCSWA

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1073357232
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020648 Issued in NC
Practice address
11 Union St S Ste 200
Concord, NC 28025-5098
Phone
(704) 918-9741
NPI assigned
Jun 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 P020648 NC Primary

Addresses

Primary practice location

11 Union St S Ste 200
Concord, NC 28025-5098

Mailing address

3106 Dunn Ave
Charlotte, NC 28205-7512
Phone (559) 977-3866

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

LicenseStateTypeSpecialty
P020648NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Family Counseling Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

11 Union St S
Ste 200
Concord, NC 28025
Phone (704) 918-9315

11 Union St S
Ste 206
Concord, NC 28025
Phone (704) 918-9741

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.

NPI Registry JSON

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1073357232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 DUNN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057512",
            "telephone_number": "559-977-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255098",
            "telephone_number": "704-918-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "MAIGHIA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.