Individual provider Active NPI

Luanne Brigman Imholt, MSW

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1093234049
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2116 Issued in SC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003428 NC Practitioner - Clinical Social Worker 3375991987 Reassigns benefits to 2 organizations

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
Total Life IncGroup PAC ID 8123433034, 113 clinicians

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

LicenseStateTypeSpecialty
2116SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Mar 1, 2025 Accepting new patients
Crescent Moon Psychotherapy, LLC CurrentSince Jul 4, 2021 Accepting new patients
Total Life FL PA CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.