Organization Active NPI

Radar Concepts

  • Clinical Social Worker
  • Shelby, NC
National Provider Identifier
1154647865
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001397 Issued in NC
Legal business name
RADAR CONCEPTS
Practice address
212 W Dixon Blvd
Shelby, NC 28152-6522
Phone
(704) 297-5206
Fax
(704) 297-3379
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Elizabeth Ann Lattimore, LCSW
Title
Owner
Phone
(704) 297-3379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C001397 NC Primary

Addresses

Primary practice location

212 W Dixon Blvd
Shelby, NC 28152-6522

Mailing address

PO Box 812
Shelby, NC 28151-0812
Phone (704) 297-5206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1154647865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281510812",
            "telephone_number": "704-297-5206",
            "fax_number": "704-297-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526522",
            "telephone_number": "704-297-5206",
            "fax_number": "704-297-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADAR CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-297-3379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.