NPIMap

Organization Active NPI

Isaiah Counseling & Wellness PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1114239134
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005180 Issued in NC
Legal business name
ISAIAH COUNSELING & WELLNESS PLLC
Practice address
1914 Brunswick Ave
Suite 1B
Charlotte, NC 28207-2808
Phone
(704) 910-2055
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Shawntal M Isaiah, LCSWNPI 1952484453
Title
Owner
Phone
(704) 965-2364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C005180 NC Primary

Addresses

Primary practice location

1914 Brunswick Ave
Suite 1B
Charlotte, NC 28207-2808

Mailing address

PO Box 29158
Charlotte, NC 28229-9158
Phone (704) 965-2364

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1114239134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29158",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282299158",
            "telephone_number": "704-965-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BRUNSWICK AVE",
            "address_2": "SUITE 1B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072808",
            "telephone_number": "704-910-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "ISAIAH",
        "authorized_official_first_name": "SHAWNTAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-965-2364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005180",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2022; 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.