Active NPI
Multi Care Services, Inc
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1417036682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003757
- Legal business name
- MULTI CARE SERVICES, INC
- Practice address
- 306 S Columbia St
Gastonia, NC 28054-0450 - Phone
- (704) 861-8011
- Fax
- (704) 861-8086
- NPI assigned
- Nov 6, 2006
- 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
- Mr. Ernest Rushing, QSAP, QDDP, QMHP
- Title
- Consultant
- Phone
- (704) 861-8011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003757 | NC | Primary |
Addresses
Primary practice location
306 S Columbia St
Gastonia, NC 28054-0450
Mailing address
306 S Columbia St
Gastonia, NC 28054-0450
Phone (704) 861-8011
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006023 | Medicaid | NC | |
| 8300622G | Medicaid | NC | |
| 8300622B | Medicaid | NC | |
| 8300622H | Medicaid | NC | |
| 8300622 | Medicaid | NC | |
| 3418183 | Medicaid | NC |
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.
-
- Clinical Social Worker
- Gastonia, NC
- NPI 1386798973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1417036682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 S COLUMBIA ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540450",
"telephone_number": "704-861-8011",
"fax_number": "704-861-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 S COLUMBIA ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540450",
"telephone_number": "704-861-8011",
"fax_number": "704-861-8086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTI CARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "RUSHING",
"authorized_official_first_name": "ERNEST",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "704-861-8011",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "QSAP, QDDP, QMHP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006023",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300622G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300622B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300622H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300622",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418183",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.