Active NPI
Matthews Child and Family Therapy PLLC
- Clinical Social Worker
- Matthews, NC
National Provider Identifier
1407419708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hilary Hykes Carr, LCSW, RPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Matthews, NC
- NPI 1801260971
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.