Trauma Assessment & Treatment Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006756 Issued in NC

Legal business name

TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC

Doing business as

Leslie L. Williams

Practice address

1914 J N Pease PL Ste 150
Charlotte, NC 28262-4504

Phone

(704) 921-9943

Fax

(704) 665-1959

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Leslie Williams, LCSW, CCTP

Title

LCSW, CCTP/ Clinical Director

Phone

(704) 921-9943

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Leslie L. Williams Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: records@trauma-assessment-treatm.direct.kno2fy.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip J Harris, LCSW-A

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1689194045
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1255692919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 RIDGELINE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698000",
            "telephone_number": "704-921-9943",
            "fax_number": "704-665-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-921-9943",
            "fax_number": "704-665-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "LCSW, CCTP/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-921-9943",
        "authorized_official_credential": "LCSW, CCTP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007532",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5092840",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "928979",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "13604553",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC-OPTUM",
            "identifier": "000816420001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF NC",
            "identifier": "02GFQ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Records@Trauma-Assessment-Treatm.direct.kno2fy.com",
            "affiliation": "N",
            "endpointDescription": "DSM directory",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1914 J N Pease Pl Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Leslie L. Williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin June Trantham, MD
• Tranzit Transportation Company (The Tranzit)
• Vanessa Trapp-Spann, CRC, LPC
• Benjamin Allen Trapp, M.D.
• Suzanne Conlon Traub, LCMHCA
• Traveling Tulips LLC (HomeWell Care Services)
• Andrew Huntley Travelli, MD
• Frances Chen Travelli, M.D.
• Sophia Angelina Traven, M.D.
• Colleen Travers

• 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 Apr 16, 2021; 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.