Thandiwe Irvin Truesdale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010663 Issued in NC

Practice address

4919 Albemarle Rd Ste 203
Charlotte, NC 28205-6683

Phone

(980) 495-6305

Fax

(980) 495-6535

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1194153122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 ALBEMARLE RD STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056683",
            "telephone_number": "980-495-6305",
            "fax_number": "980-495-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 ALBEMARLE RD STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056683",
            "telephone_number": "980-495-6305",
            "fax_number": "980-495-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 55th St. NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20019",
            "country_code": "US",
            "telephone_number": "202-939-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "THANDIWE",
        "middle_name": "IRVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079356",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truecare Medical Equipment LLC
• Courtney Truesdale, APRN, NP
• Donica Truesdale
• Jacquelyn Truesdale
• Khia Truesdale
• Margaret Ann Truesdell, PA
• Trueu Counseling and Education PLLC
• Truevisions, Inc.
• Macie Enman Trujillo, MD
• Kristen Marie Trulear-Jackson, M.D.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Dec 1, 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.

Verify at the official NPI Registry.