Active NPI
Defining Self, PLLC
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1154071991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DEFINING SELF, PLLC
- Practice address
- 3536 Craig Ave
Charlotte, NC 28211-1543 - Phone
- (920) 229-7722
- NPI assigned
- Mar 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danaan Yo, LCSW
- Title
- Owner
- Phone
- (920) 229-7722
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3536 Craig Ave
Charlotte, NC 28211-1543
Mailing address
3536 Craig Ave
Charlotte, NC 28211-1543
Phone (920) 229-7722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1648166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1154071991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 CRAIG AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111543",
"telephone_number": "920-229-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 CRAIG AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111543",
"telephone_number": "920-229-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFINING SELF, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-19",
"status": "A",
"authorized_official_last_name": "YO",
"authorized_official_first_name": "DANAAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-229-7722",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Mar 25, 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.