Individual provider Active NPI

Gloria Mercedes Permison, LCSW

  • Clinical Social Worker
  • Mint Hill, NC
National Provider Identifier
1245834027
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016247 Issued in NC
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

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705001515 NC Practitioner - Clinical Social Worker 8628512308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05879600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Gaston Family Health Services, Inc CurrentSince Jun 10, 2024 Accepting new patients
GP Therapy and Wellness PLLC Clinical CurrentSince May 18, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.