NPIMap

Organization Active NPI

Empower to Success Enterprise LLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1326620477
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWER TO SUCCESS ENTERPRISE LLC
Practice address
5820 E WT Harris Blvd Ste 208
Charlotte, NC 28215-4032
Phone
(980) 335-1972
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPOWER TO SUCCESS ENTERPRISEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Richard Russell Williams Jr.
Title
Chief Financial Officer
Phone
(980) 335-1972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5820 E WT Harris Blvd Ste 208
Charlotte, NC 28215-4032

Mailing address

5820 E WT Harris Blvd Ste 208
Charlotte, NC 28215-4032
Phone (980) 335-1972

National Provider Directory

National Provider Directory
Tax ID family
Empower to Success Enterprise LLC2 organizations share this tax ID, including this one
Part of
Empower to Success Enterprise LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1326620477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 E WT HARRIS BLVD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154032",
            "telephone_number": "980-335-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E WT HARRIS BLVD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154032",
            "telephone_number": "980-335-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER TO SUCCESS ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPOWER TO SUCCESS ENTERPRISE",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "980-335-1972",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.