Individual provider Active NPI

Patricia A Krikorian, L.C.S.W.

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1124302849
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000948 Issued in NC
Practice address
1300 Blythe Blvd
Charlotte, NC 28203-5873
Phone
(704) 372-4663
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 C000948 NC Primary

Addresses

Primary practice location

1300 Blythe Blvd
Charlotte, NC 28203-5873

Mailing address

2502 Windsor Chase Dr
Matthews, NC 28105-9439
Phone (704) 441-6540

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
I20180220000592 NC Practitioner - Clinical Social Worker 5991066763 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

3111 Springbank LN
Suite 1
Charlotte, NC 28226-3372
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000948NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Nov 11, 2019 Accepting new patients
Array of Brighter Beginnings Inc Clinical CurrentSince Jan 12, 2018 Accepting new patients
Monarch CurrentSince Nov 11, 2019 Accepting new patients
Empowerment Quality Care Services, LLC CurrentSince Dec 30, 2021 Accepting new patients
Monarch Current Accepting new patients
Thriveworks Clinical - North Carolina PC CurrentSince Aug 19, 2022 Accepting new patients
Florence Crittenton Services Clinical Past Accepting new patients
Carolina'S Creative Counseling, PA Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

8535 Cliff Cameron Dr
Ste 100
Charlotte, NC 28269
Phone 7047177477 ext. 3007

3111 Springbank Ln
Ste 1
Charlotte, NC 28226

2505 Court Dr
Gastonia, NC 28054
Phone (704) 842-6359

813 S Oakland St
Ste A
Gastonia, NC 28054
Phone (704) 215-6896

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1124302849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 WINDSOR CHASE DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059439",
            "telephone_number": "704-441-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035873",
            "telephone_number": "704-372-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIKORIAN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.