Active NPI
Gloria Mercedes Permison, LCSW
- Clinical Social Worker
- Mint Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016247
- Practice address
- 7427 Matthews Mint Hill Rd Ste 105-314
Mint Hill, NC 28227-7862 - Phone
- (980) 372-4150
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05879600 | NJ | |
| School Social Worker | 1041S0200X | NJ | ||
| Clinical Social Worker | 1041C0700X | C016247 | NC | Primary |
Addresses
Primary practice location
7427 Matthews Mint Hill Rd Ste 105-314
Mint Hill, NC 28227-7862
Mailing address
7427 Matthews Mint Hill Rd Ste 105-314
Mint Hill, NC 28227-7862
Phone (980) 372-4150
Other practice location 1
325 Carolina Hemlock Dr
Locust, NC 28097-0139
Phone (980) 372-4150
Other practice location 2
1945 Lakepointe Dr
Lewisville, TX 75057-6424
Phone (800) 835-2362
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05879600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Gaston Family Health Services, Inc | Current | Accepting new patients | |
| GP Therapy and Wellness PLLC | Clinical | Current | Accepting new patients |
Locations
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
7427 Matthews Mint Hill Rd
Ste 105314
Mint Hill, NC 28227
Phone (980) 372-4150
1945 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 302-5246
Interoperability endpoints
- gloriapermison@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
- Clinical Social Worker
- Mint Hill, NC
- NPI 1477360923
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1245834027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7427 MATTHEWS MINT HILL RD STE 105-314",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277862",
"telephone_number": "980-372-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7427 MATTHEWS MINT HILL RD STE 105-314",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277862",
"telephone_number": "980-372-4150"
}
],
"practiceLocations": [
{
"address_1": "325 Carolina Hemlock Dr",
"address_purpose": "LOCATION",
"city": "Locust",
"state": "NC",
"postal_code": "280970139",
"country_code": "US",
"telephone_number": "980-372-4150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Lakepointe Dr",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750576424",
"country_code": "US",
"telephone_number": "800-835-2362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERMISON",
"first_name": "GLORIA",
"middle_name": "MERCEDES",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05879600",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.