Individual provider Active NPI

Charles C. Courtney Strickland, MSW, LCSW, LCAS, CCS

  • Clinical Social Worker
  • Enterprise, OR
National Provider Identifier
1124340302
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009529 Issued in NC
Practice address
606 Medical Pkwy
Enterprise, OR 97828-5140
Phone
(542) 426-4524
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1577 NC
Clinical Social Worker 1041C0700X C009529 NC Primary

Addresses

Primary practice location

606 Medical Pkwy
Enterprise, OR 97828-5140

Mailing address

104 Plaza Dr
Garner, NC 27529-2726
Phone (504) 717-9872

Other practice location 1

104 Plaza Dr
Garner, NC 27529-2726
Phone (404) 324-2718

Other practice location 2

8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026
Phone (919) 372-3690

Other identifiers 1

IdentifierTypeStateIssuer
6112149MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160413001615 NC Practitioner - Clinical Social Worker 8224336938 Reassigns benefits to 1 organization
I20250624002267 OR Practitioner - Clinical Social Worker 8224336938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1577NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Strickland Consulting & Counseling Addiction (Substance Use Disorder) CurrentSince Dec 10, 2023 Accepting new patients
Nellie Health PLLC Clinical CurrentSince Nov 12, 2024 Accepting new patients
Wallowa Valley Center for Wellness CurrentSince May 5, 2025 Accepting new patients
David Wichnoski, O.D. , P.a. PastSince Mar 3, 2023 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients
Kristin McArthur, MD, PLLC PastSince Feb 5, 2018 Accepting new patients

Locations

8045 Arco Corporate Dr
Ste 120
Raleigh, NC 27617
Phone (919) 346-7600

103 Highway 82
Ste D
Enterprise, OR 97828
Phone (541) 426-4524

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1124340302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PLAZA DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292726",
            "telephone_number": "504-717-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285140",
            "telephone_number": "542-426-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 PLAZA DR",
            "address_purpose": "LOCATION",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292726",
            "country_code": "US",
            "telephone_number": "404-324-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Arco Corporate Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276172026",
            "country_code": "US",
            "telephone_number": "919-372-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "CHARLES",
        "middle_name": "C. COURTNEY",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

Verify at the official NPI Registry.