Charlotte Patricia Whitaker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005600 Issued in NC

Practice address

516 Maple Creek Rd
Rutherfordton, NC 28139-8302

Phone

(828) 980-0855

Fax

(828) 328-0171

NPI assigned

Mar 22, 2007

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Centered and Balanced PLLC

  • Clinical Social Worker
  • Forest City, NC
  • NPI 1730403908
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1154447001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAPLE CREEK RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398302",
            "telephone_number": "828-980-0855",
            "fax_number": "828-382-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAPLE CREEK RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398302",
            "telephone_number": "828-980-0855",
            "fax_number": "828-328-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CHARLOTTE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Volunteer Life Saving and Rescue Unit, Inc.
• Edwin Harold Waldrop Jr., N.P.
• Walgreen Co (Walgreens #17076)
• Patrick David Weichert, PHD
• Michael Stevens Wheeler, M.D.
• White Oak Manor Rutherfordton Inc (White Oak Manor Rutherfordton)
• Baylee Whiteside
• Dana Marie Williams, RPH
• Willow Ridge Healthcare LLC (Willow Ridge of NC)
• Willow Ridge of NC, LLC

• Clinical Social Worker in Rutherfordton, NC
• Providers in Rutherfordton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.