Joseph Jamal Giddins, LCSW.,LICW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009313 Issued in NC

Practice address

1801 N Tryon St
Ste 420 a
Charlotte, NC 28206-2704

Phone

(704) 360-8906

Fax

(704) 594-5616

NPI assigned

Apr 24, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• My Walk of Life Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1770283442
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1386088086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "STE 420 A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-360-8909",
            "fax_number": "704-594-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "STE 420 A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062704",
            "telephone_number": "704-360-8906",
            "fax_number": "704-594-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINS",
        "first_name": "JOSEPH",
        "middle_name": "JAMAL",
        "credential": "LCSW.,LICW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009313",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa L. Gibson, PH.D.
• Tracy Gibson, LGSW, LMSW, LCSWA
• Victoria Belk Gibson
• Zachary John Gibson, DO
• Gic of Charlotte, Inc
• Megan Michelle Gidron, PHARMD
• Alexandra Jillayne Giedd
• Robert Basil Giedraitis, MD
• Ryan C Giel, DC
• Sharon Gieseke, ABAT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.