Individual provider Active NPI

Hannah Pegram, MSW, LCSW

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1205429859
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016399 Issued in NC
Practice address
318 S South St Ste 6B-1113
Gastonia, NC 28052-4379
Phone
(980) 349-7060
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016399 NC Primary

Addresses

Primary practice location

318 S South St Ste 6B-1113
Gastonia, NC 28052-4379

Mailing address

903 Northeast Dr Ste 201
Davidson, NC 28036-7438

Other practice location 1

903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Phone (704) 896-7776

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
C016399NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Within: Therapy and Wellness PLLC Clinical CurrentSince Jun 23, 2025 Accepting new patients
Southlake Counseling & Consulting Clinical PastSince Feb 1, 2021 Accepting new patients
Southlake Center for Self Discovery Clinical PastSince Feb 1, 2021 Accepting new patients

Locations

318 S South St
Ste 6B1113
Gastonia, NC 28052
Phone (980) 349-7060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1205429859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 NORTHEAST DR STE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S SOUTH ST STE 6B-1113",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524379",
            "telephone_number": "980-349-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Northeast Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280367438",
            "country_code": "US",
            "telephone_number": "704-896-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "HANNAH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.