Active NPI
Georgia Laverne Fesperman, MSW, LCSW
- Clinical Social Worker
- Huntersville, NC
National Provider Identifier
1376523852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002656
- Practice address
- 9835 Northcross Center CT
Suite B
Huntersville, NC 28078-7346 - Phone
- (704) 896-8688
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | C002656 | NC | Primary |
Addresses
Primary practice location
9835 Northcross Center CT
Suite B
Huntersville, NC 28078-7346
Mailing address
15206 Waterfront Dr
Huntersville, NC 28078-3250
Phone (704) 947-7497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106176 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002656 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Discovery for Kids, Inc. | Past | Accepting new patients | |
| Move & Grow Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Huntersville, NC
- NPI 1215037528
-
- Speech-Language Pathologist
- Cornelius, NC
- NPI 1093849341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1376523852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15206 WATERFRONT DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783250",
"telephone_number": "704-947-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9835 NORTHCROSS CENTER CT",
"address_2": "SUITE B",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787346",
"telephone_number": "704-896-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESPERMAN",
"first_name": "GEORGIA",
"middle_name": "LAVERNE",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106176",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.