Individual provider Active NPI

Adrian J White, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1164854543
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016142 Issued in NC
Practice address
1914 J N Pease PL
Charlotte, NC 28262-4504
Phone
(252) 320-8848
NPI assigned
Aug 7, 2013
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 20839 NC
Clinical Social Worker 1041C0700X C016142 NC Primary

Addresses

Primary practice location

1914 J N Pease PL
Charlotte, NC 28262-4504

Mailing address

10025 Pineshadow Dr Apt 101
Charlotte, NC 28262-1144
Phone (252) 320-8848

Other practice location 1

8520 Cliff Cameron Dr
Suite 460
Charlotte, NC 28269-5910
Phone (704) 594-9119

Other identifiers 1

IdentifierTypeStateIssuer
1164854543MedicaidNC

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

LicenseStateTypeSpecialty
C016142NCMDClinical Social Worker
20839NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander's Therapy and Consulting Services, PLLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

5820 E W T Harris Blvd
Ste 109191
Charlotte, NC 28215

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1164854543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 PINESHADOW DR APT 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621144",
            "telephone_number": "252-320-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "252-320-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8520 Cliff Cameron Dr",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282695910",
            "country_code": "US",
            "telephone_number": "704-594-9119",
            "fax_number": "704-594-9915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ADRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164854543",
            "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 Jul 18, 2023; 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.