Organization Active NPI

Matthews Child and Family Therapy PLLC

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1407419708
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MATTHEWS CHILD AND FAMILY THERAPY PLLC
Practice address
1122 Sam Newell Rd Ste 114
Matthews, NC 28105
Phone
(704) 870-7466
Fax
(980) 270-0777
NPI assigned
Apr 22, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Hilary Hykes Carr, LCSW, RPTNPI 1801260971
Title
Therapist
Phone
(704) 870-7466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1122 Sam Newell Rd Ste 114
Matthews, NC 28105

Mailing address

1122 Sam Newell Rd Ste 114
Matthews, NC 28105-5016
Phone (704) 870-7466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1407419708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD STE 114",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055016",
            "telephone_number": "704-870-7466",
            "fax_number": "980-270-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD STE 114",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-870-7466",
            "fax_number": "980-270-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS CHILD AND FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "HYKES",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-870-7466",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.