Individual provider Active NPI

Monica Eliza Segovia-Hernandez

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1396657185
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P024489 Issued in NC
Practice address
845 Church St N Ste 102
Concord, NC 28025-4373
Phone
(704) 502-9397
NPI assigned
Sep 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 P024489 NC Primary

Addresses

Primary practice location

845 Church St N Ste 102
Concord, NC 28025-4373

Mailing address

13425 Hoover Creek Blvd Ste 205
Charlotte, NC 28273-0327
Phone (704) 502-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1396657185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 HOOVER CREEK BLVD STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730327",
            "telephone_number": "704-502-9397",
            "fax_number": "980-422-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CHURCH ST N STE 102",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254373",
            "telephone_number": "704-502-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA-HERNANDEZ",
        "first_name": "MONICA",
        "middle_name": "ELIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P024489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.