Individual provider Active NPI

Monique A. Cox-Waithe, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1407872278
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005118 Issued in NC
Practice address
10955 Winds Crossing Dr Ste 300
Charlotte, NC 28273-6778
Phone
(704) 343-6511
NPI assigned
Jul 14, 2006
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 C005118 NC Primary

Addresses

Primary practice location

10955 Winds Crossing Dr Ste 300
Charlotte, NC 28273-6778

Mailing address

10955 Winds Crossing Dr Ste 300
Charlotte, NC 28273-6778
Phone (704) 343-6511

Other identifiers 1

IdentifierTypeStateIssuer
6106207MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCOXWAITHE15134@DIRECT.NOVANTHEALTH.ORG

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
I20100216000729 NC Practitioner - Clinical Social Worker 9830232164 Practice locations: Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10955 Winds Crossing Dr
Suite 300
Charlotte, NC 28273-6778
Phone (704) 343-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005118NCMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: mcoxwaithe15134@direct.novanthealth.org

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1407872278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 WINDS CROSSING DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736778",
            "telephone_number": "704-343-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 WINDS CROSSING DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736778",
            "telephone_number": "704-343-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX-WAITHE",
        "first_name": "MONIQUE",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106207",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCOXWAITHE15134@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "501 Billingsley Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.