Active NPI
Gabrielle Alexandra Troutman, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1356985154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014287
- Practice address
- 1931 J N Pease PL Ste 104
Charlotte, NC 28262-4540 - Phone
- (704) 734-9480
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C014287 | NC | Primary |
Addresses
Primary practice location
1931 J N Pease PL Ste 104
Charlotte, NC 28262-4540
Mailing address
606 Grace St
Gastonia, NC 28052-2313
Phone (704) 923-5374
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9723 Northeast Pkwy
Suite 100
Matthews, NC 28105-9719
Phone (980) 262-3007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C014287 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ubylee Healthcare Group | Current | Accepting new patients | |
| Ubylee Healthcare Group, PLLC | Current | Accepting new patients | |
| Ubylee Healthcare Group, PLLC | Current | Accepting new patients | |
| Mindful Movements, PLLC | Past | Accepting new patients |
Locations
1044 X Ray Dr
Gastonia, NC 28054
Phone (704) 691-7145
Organizations & group practices 4
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.
-
- Specialist
- Gastonia, NC
- NPI 1700658036
-
- Family Medicine Physician
- Matthews, NC
- NPI 1881418788
-
- Specialist
- Matthews, NC
- NPI 1265942403
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1205392099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1356985154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 GRACE ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280522313",
"telephone_number": "704-923-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL STE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624540",
"telephone_number": "704-734-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUTMAN",
"first_name": "GABRIELLE",
"middle_name": "ALEXANDRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014287",
"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 Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.