Individual provider Active NPI

Charity H Alexander, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1205656915
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017790 Issued in NC
Practice address
2154 Clydesmill Rd
Fayetteville, NC 28314-0814
Phone
(704) 962-5609
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X P017790 NC Primary

Addresses

Primary practice location

2154 Clydesmill Rd
Fayetteville, NC 28314-0814

Mailing address

3802 Meriwether Dr Apt F
Durham, NC 27704-2855
Phone (704) 962-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004007 NC Practitioner - Clinical Social Worker 7416464656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017790NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Discover You Therapy PLLC Clinical CurrentSince May 16, 2025 Accepting new patients

Locations

109 Hay St
Ste 202
Fayetteville, NC 28301
Phone (910) 778-1312

Organizations & group practices 1

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1205656915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 MERIWETHER DR APT F",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042855",
            "telephone_number": "704-962-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 CLYDESMILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140814",
            "telephone_number": "704-962-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CHARITY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.