NPIMap

Organization Active NPI

Emotional Wellness & Counseling Center

  • Clinical Social Worker
  • Lake Wylie, SC
National Provider Identifier
1265996490
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMOTIONAL WELLNESS & COUNSELING CENTER
Practice address
4341 Charlotte Hwy Ste 203
Lake Wylie, SC 29710-7062
Phone
(704) 578-5904
NPI assigned
Jan 22, 2019
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Katrina Reese, LISW-CP, LCSW, MSWNPI 1720357338
Title
Clinical Social Worker
Phone
(704) 578-5904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4341 Charlotte Hwy Ste 203
Lake Wylie, SC 29710-7062

Mailing address

510 Meadow Ridge Dr
Belmont, NC 28012
Phone (704) 578-5904

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1265996490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MEADOW RIDGE DR",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "28012",
            "telephone_number": "704-578-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 CHARLOTTE HWY STE 203",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297107062",
            "telephone_number": "704-578-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL WELLNESS & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-578-5904",
        "authorized_official_credential": "LISW-CP, LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.