Individual provider Active NPI

Joann M Abdo, LCSW

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1407209661
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002978 Issued in NC
Practice address
1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5041
Phone
(980) 224-6615
NPI assigned
Jul 22, 2016
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 C002978 NC Primary

Addresses

Primary practice location

1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5041

Mailing address

1118 Sam Newell Rd Ste D2
Matthews, NC 28105-5041
Phone (980) 224-6615

Other identifiers 1

IdentifierTypeStateIssuer
C002978OtherNCLCSW

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Abdocounseling@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228001864 NC Practitioner - Clinical Social Worker 4082995394 Practice locations: Matthews, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1118 Sam Newell Rd
Matthews, NC 28105-5162

1118 Sam Newell Rd
Suite D2
Matthews, NC 28105-5041
Phone (980) 404-2251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002978NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abdo Counseling and Consulting, PLLC Clinical CurrentSince Mar 22, 2017 Accepting new patients

Locations

1118 Sam Newell Rd
Ste D2
Matthews, NC 28105
Phone (517) 486-2686

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1407209661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SAM NEWELL RD STE D2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055041",
            "telephone_number": "980-224-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 SAM NEWELL RD STE D2",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055041",
            "telephone_number": "980-224-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDO",
        "first_name": "JOANN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C002978",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Abdocounseling@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1118 Sam Newell Rd Ste D2",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.