Individual provider Active NPI

Gabrielle Alexandra Troutman, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1356985154
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014287 Issued in NC
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

Updated by the provider on Oct 4, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102002526 NC Practitioner - Clinical Social Worker 5991151573 Reassigns benefits to 1 organization

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
Ubylee Healthcare Group, PLLCGroup PAC ID 8921349044, 14 clinicians

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

LicenseStateTypeSpecialty
C014287NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ubylee Healthcare Group CurrentSince Aug 15, 2023 Accepting new patients
Ubylee Healthcare Group, PLLC CurrentSince Aug 15, 2023 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.

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

Verify at the official NPI Registry.