Active NPI
Courtney C Hebdon, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1205048568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006037
- Practice address
- 904 E 8TH St
Charlotte, NC 28204-2390 - Phone
- (704) 680-6414
- Fax
- (704) 954-8681
- NPI assigned
- May 7, 2007
- Last updated
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006037 | NC | Primary |
Addresses
Primary practice location
904 E 8TH St
Charlotte, NC 28204-2390
Mailing address
904 E 8TH St
Charlotte, NC 28204-2390
Phone (704) 680-6414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C006037 | Other | NC | LCSW LICENSE NUMBER |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006037 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Service Authority | Past | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients |
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.
-
dba New River Behavioral HealthCare
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1659532562
-
dba New River Behavioral Healthcare
- Foster Care Agency
- Boone, NC
- NPI 1720360944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1205048568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E 8TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042390",
"telephone_number": "704-680-6414",
"fax_number": "704-954-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E 8TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042390",
"telephone_number": "704-680-6414",
"fax_number": "704-954-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBDON",
"first_name": "COURTNEY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE NUMBER",
"identifier": "C006037",
"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 25, 2015; 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.