Individual provider Active NPI

Carmon K McGee, LCSW, MSW

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1396730511
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004115 Issued in NC
Practice address
255 18TH St SE
Hickory, NC 28602-1364
Phone
(828) 327-6633
Fax
(828) 327-3385
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 C004115 NC Primary

Addresses

Primary practice location

255 18TH St SE
Hickory, NC 28602-1364

Mailing address

255 18TH St SE
Hickory, NC 28602-1364
Phone (828) 327-6633

Other identifiers 2

IdentifierTypeStateIssuer
1304WOtherNCBLUE CROSS BLUE SHIELD
6002334MedicaidNC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C004115NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Center, Inc. Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcgee.carmon.511.0330166@crco.meditab.direct-ci.com

Organizations & group practices 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1396730511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 18TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021364",
            "telephone_number": "828-327-6633",
            "fax_number": "828-327-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 18TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021364",
            "telephone_number": "828-327-6633",
            "fax_number": "828-327-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "CARMON",
        "middle_name": "K",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1304W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.