Tashina Stout, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009864 Issued in NC

Practice address

2633 West Blvd
Charlotte, NC 28208-6705

Phone

(704) 521-4977

NPI assigned

Jun 12, 2014

Last updated

Mar 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Hope Carolinas

  • Psychiatric Residential Treatment Facility
  • Rock Hill, SC
  • NPI 1831114735
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1083028518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SEDGEWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322315",
            "telephone_number": "803-328-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 WEST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282086705",
            "telephone_number": "704-521-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "TASHINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Catherine Stout, AGACNP-BC
• Julie Lynn Stout
• Michael Lee Stout, DDS
• Rachel Stout, M.A./ED.S, LPCA, NCC
• Ryan Stout, PA
• Thomas Franklin Stout I, MD
• Sandra Maria Stovall, DDS
• Shandrice Alicia Stovall
• Simone Alexandria Stovall, RBT
• Deja Stover, LCSWA

• 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 Mar 12, 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.