Active NPI
Caroline Delores Pridgen, LCSWA
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1366291965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P022534
- Practice address
- 10706 Sikes PL Ste 275
Charlotte, NC 28277-8015 - Phone
- (704) 577-4071
- NPI assigned
- May 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC | ||
| Clinical Social Worker | 1041C0700X | P022534 | NC | Primary |
Addresses
Primary practice location
10706 Sikes PL Ste 275
Charlotte, NC 28277-8015
Mailing address
4530 Park Rd Ste 320
Charlotte, NC 28209-3790
Phone (704) 577-4071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P022534 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Psych Group, PLLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waxhaw, NC
- NPI 1356088389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1366291965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 PARK RD STE 320",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093790",
"telephone_number": "704-577-4071",
"fax_number": "866-500-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10706 SIKES PL STE 275",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778015",
"telephone_number": "704-577-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDGEN",
"first_name": "CAROLINE",
"middle_name": "DELORES",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P022534",
"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 Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.