Carolina Therapy Specialists, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006851 Issued in NC

Legal business name

CAROLINA THERAPY SPECIALISTS, PLLC

Practice address

5513 Monroe Rd Ste 202
Charlotte, NC 28212-5503

Phone

(704) 608-1269

NPI assigned

Sep 25, 2015

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendra K Moree, LCSWNPI 1386975597

Title

Owner/Provider

Phone

(704) 562-3095

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kendra K Moree, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1386975597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1245600816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "704-562-3095",
            "fax_number": "704-562-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "704-608-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA THERAPY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "MOREE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-562-3095",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386975597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Surgical Clinic of Charlotte, PA
• Carolina Therapeutic Services First
• Carolina Therapeutics
• Carolina Therapy
• Carolina Therapy Center LLC
• Carolina Transport Alliance, Inc.
• Carolina Treatment & Family Services, Inc
• Carolina Upper Cervical Clinic, Inc.
• Carolina Urology Center, PA
• Carolina Vision Rehabilitation OD PLLC

• 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 Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.