Individual provider Active NPI

Breah Robinson, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1164966388
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014903 Issued in NC
Practice address
3719 Latrobe Dr Ste 850L
Charlotte, NC 28211-4827
Phone
(980) 254-6220
NPI assigned
Dec 7, 2016
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014903 NC Primary
Clinical Social Worker 1041C0700X 149.024870 IL

Addresses

Primary practice location

3719 Latrobe Dr Ste 850L
Charlotte, NC 28211-4827

Mailing address

3719 Latrobe Dr Ste 850L
Charlotte, NC 28211-4827
Phone (980) 206-4338

Other identifiers 1

IdentifierTypeStateIssuer
1164966388MedicaidNC

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
149.024870ILMDClinical Social Worker
C014903NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seeds of Healing Clinical CurrentSince Apr 17, 2022 Accepting new patients
Side by Side PastSince May 1, 2024 Accepting new patients
Side by Side Past Accepting new patients

Locations

3719 Latrobe Dr
Ste 850L
Charlotte, NC 28211
Phone (980) 254-6220

Organizations & group practices 3

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1164966388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "980-206-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "980-254-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BREAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014903",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164966388",
            "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 Mar 18, 2026; 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.