Individual provider Active NPI

Patricia Jones Heard, MSW,LCSW,LMFT

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1073592267
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000810 Issued in NC
Practice address
10720 Carmel Commons Blvd
Suite 330
Charlotte, NC 28226-3785
Phone
(704) 542-9883
Fax
(704) 542-9883
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000810 NC Primary
Marriage & Family Therapist 106H00000X 380 NC

Addresses

Primary practice location

10720 Carmel Commons Blvd
Suite 330
Charlotte, NC 28226-3785

Mailing address

6728 Constitution LN
Charlotte, NC 28210-4216
Phone (704) 591-3193

Other identifiers 1

IdentifierTypeStateIssuer
295322OtherNCMHN

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
C000810NCMDClinical Social Worker
380NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1073592267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 CONSTITUTION LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104216",
            "telephone_number": "704-591-3193",
            "fax_number": "704-552-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 CARMEL COMMONS BLVD",
            "address_2": "SUITE 330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263785",
            "telephone_number": "704-542-9883",
            "fax_number": "704-542-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "PATRICIA",
        "middle_name": "JONES",
        "credential": "MSW,LCSW,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000810",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "295322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.