Individual provider Active NPI

Stephanie Cummings Hair, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1407901333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000517 Issued in NC
Practice address
429 S Sharon Amity Rd Ste a
Charlotte, NC 28211-2853
Phone
(704) 442-4567
Fax
(704) 362-2361
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C000517 NC Primary

Addresses

Primary practice location

429 S Sharon Amity Rd Ste a
Charlotte, NC 28211-2853

Mailing address

5218 Holly Fern Cir
Charlotte, NC 28211-4176
Phone (704) 442-4567

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
C000517NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407901333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 HOLLY FERN CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114176",
            "telephone_number": "704-442-4567",
            "fax_number": "704-362-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S SHARON AMITY RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112853",
            "telephone_number": "704-442-4567",
            "fax_number": "704-362-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIR",
        "first_name": "STEPHANIE",
        "middle_name": "CUMMINGS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.