Home for Family Intimacy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010228 Issued in NC

Legal business name

HOME FOR FAMILY INTIMACY, PLLC

Practice address

10130 Mallard Creek Rd
Charlotte, NC 28262-6000

Phone

(980) 224-0653

Fax

(980) 729-5025

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Terri A Williams, MSW, LCSW

Title

Therapist/Owner

Phone

(980) 224-0653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Williams-Whiteside, MSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1972853174
  Medicare reassignment NPD

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1386196897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626000",
            "telephone_number": "980-224-0653",
            "fax_number": "980-729-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626000",
            "telephone_number": "980-224-0653",
            "fax_number": "980-729-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR FAMILY INTIMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "980-224-0653",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Care Partners LLC
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• Home Care Solution, LLC
• Home Family Care Services, LLC
• Home for Heroes, Inc.
• Home Health Connection
• Home Health Enterprises, Inc
• Home Health Enterprises, Inc
• Home Health Enterprises, Inc

• 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 Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.