Individual provider Active NPI

Courtney Merchant Lawrence, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1336878776
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007468 Issued in NC
Practice address
5007 Providence Rd Ste 105
Charlotte, NC 28226-5907
Phone
(704) 364-6594
Fax
(704) 364-6596
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007468 NC Primary

Addresses

Primary practice location

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907

Mailing address

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907
Phone (704) 364-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722000163 NC Practitioner - Clinical Social Worker 6709267792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Services of Greater Charlotte IncGroup PAC ID 4587616586, 5 clinicians

Practice addresses (Care Compare)

5007 Providence Rd
Suite 105
Charlotte, NC 28226-5907
Phone (704) 364-6594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007468NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Greater Charlotte, Inc Clinical CurrentSince Jul 2, 2022 Accepting new patients

Locations

5007 Providence Rd
Ste 105
Charlotte, NC 28226
Phone (704) 364-6594

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1336878776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "704-364-6594",
            "fax_number": "704-364-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "704-364-6594",
            "fax_number": "704-364-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "COURTNEY",
        "middle_name": "MERCHANT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.