Active NPI
Luanne Brigman Imholt, MSW
- Clinical Social Worker
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2116
- Practice address
- 2030 Windsor Run LN
Matthews, NC 28105-0054 - Phone
- (704) 443-6250
- Fax
- (704) 443-6279
- NPI assigned
- Sep 11, 2017
- Last updated
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2116 | SC | Primary |
Addresses
Primary practice location
2030 Windsor Run LN
Matthews, NC 28105-0054
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (704) 443-6250
Other practice location 1
1249 Ashley Creek Dr
Matthews, NC 28105-2442
Phone (803) 422-3779
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5960 Fairview Rd
Suite 400
Charlotte, NC 28210-3119
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2116 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Crescent Moon Psychotherapy, LLC | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (704) 496-2760
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Fort Mill, SC
- NPI 1386214245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1093234049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "704-443-6250",
"fax_number": "704-443-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 WINDSOR RUN LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050054",
"telephone_number": "704-443-6250",
"fax_number": "704-443-6279"
}
],
"practiceLocations": [
{
"address_1": "1249 Ashley Creek Dr",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281052442",
"country_code": "US",
"telephone_number": "803-422-3779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMHOLT",
"first_name": "LUANNE",
"middle_name": "BRIGMAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "2116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.