Active NPI
Rachel Tess Keverline, MSW, LCSWA
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1124755038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P017959
- Practice address
- 8145 Ardrey Kell Rd Ste 203
Charlotte, NC 28277-5721 - Phone
- (704) 237-4240
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 | P017959 | NC | Primary |
Addresses
Primary practice location
8145 Ardrey Kell Rd Ste 203
Charlotte, NC 28277-5721
Mailing address
2520 South Blvd Apt 130
Charlotte, NC 28203-6638
Phone (828) 514-3413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900927 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017959 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emotional Health | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1124755038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 SOUTH BLVD APT 130",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036638",
"telephone_number": "828-514-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 ARDREY KELL RD STE 203",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775721",
"telephone_number": "704-237-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEVERLINE",
"first_name": "RACHEL",
"middle_name": "TESS",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P017959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900927",
"state": "NC"
}
],
"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 2, 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.