Marcus Jamar Gaddy, MSW LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P023900 Issued in NC

Practice address

16325 Northcross Dr Ste F
Huntersville, NC 28078-5044

Phone

(704) 237-4240

NPI assigned

Sep 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carolina Outreach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1407585706
  NPD
• Carolina'S Creative Counseling, PA

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1114156163
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1255948196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR STE 14",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061395",
            "telephone_number": "704-332-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785044",
            "telephone_number": "704-237-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5108 Reagan Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282063103",
            "country_code": "US",
            "telephone_number": "704-332-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDY",
        "first_name": "MARCUS",
        "middle_name": "JAMAR",
        "credential": "MSW LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Yee Fu, PHARM. D.
• Full Spectrum Therapy Services, PLLC
• Functional Medicine Center of the Carolinas PC
• Ava Elizabeth Furr
• Kytaina Gabriel, LCSWA
• Thanveer Reddy Gadwal, PHARMD
• Kyara Gage
• Sonal Gagrani, MD
• Gahc3 Huntersville NC TRS Sub, LLC
• Kristin Whitely Gaines, MD

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, 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 Jun 30, 2026; 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.