Individual provider Active NPI

Stephanie D. Williams, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1376130484
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018112 Issued in NC
Practice address
1935 J N Pease PL Ste 202
Charlotte, NC 28262-4542
Phone
(704) 334-3170
Fax
(704) 943-9393
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 C018112 NC Primary

Addresses

Primary practice location

1935 J N Pease PL Ste 202
Charlotte, NC 28262-4542

Mailing address

1315 Harding PL Apt 340
Charlotte, NC 28204-3542
Phone (205) 401-0367

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
I20250410003206 NC Practitioner - Clinical Social Worker 2062936008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Therapy PLLC CurrentSince Sep 28, 2025 Accepting new patients
Be Well Therapy PLLC CurrentSince Feb 12, 2025 Accepting new patients
Pinnacle Family Services of North Carolina LLC Clinical PastSince Dec 1, 2020 Accepting new patients

Locations

1935 J N Pease Pl
Ste 202
Charlotte, NC 28262
Phone (704) 334-3170

Organizations & group practices 3

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1376130484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HARDING PL APT 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043542",
            "telephone_number": "205-401-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624542",
            "telephone_number": "704-334-3170",
            "fax_number": "704-943-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "D.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.