Clearwater Counseling and Consulting PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEARWATER COUNSELING AND CONSULTING PLLC

Doing business as

Clearwater Counseling and Consulting PLLC

Practice address

18139 W Catawba Ave Ste 2
Cornelius, NC 28031-5641

Phone

(704) 966-9277

Fax

(980) 217-8402

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth W Kovacs, LCSWNPI 1356672851

Title

Owner

Phone

(704) 966-9277

Specialties & licenses 1

Addresses

Other names 1

• CLEARWATER COUNSELING AND CONSULTING PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Elizabeth Wiley Kovacs, LCSW

  • Clinical Social Worker
  • Cornelius, NC
  • NPI 1356672851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1316588601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360435",
            "telephone_number": "704-966-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18139 W CATAWBA AVE STE 2",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-966-9277",
            "fax_number": "980-217-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-966-9277",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARWATER COUNSELING AND CONSULTING PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Marie Christensen, RPH
• Kimberly Stoever Christman, DDS
• John Joseph Cipriani, D.C.
• Eileen Clark, AUD
• Katelyn Truss Clark
• Jackee Ijeoma Clement, MD
• Clementine Holistic Healing for Women '
• Ryan C Clifford, MA, LMFT
• Diamond Clinton
• Cobblestone Counseling Center, PLLC

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, 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 Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.