Individual provider Active NPI

Autumn Lynette Hill, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1457515843
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007834 Issued in NC
Practice address
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Phone
(980) 302-8850
Fax
(704) 316-8118
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X C007834 NC Primary

Addresses

Primary practice location

3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1246

Other practice location 1

5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 525-3255 ext. 5232

Other practice location 2

5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 525-3255 ext. 5232

Other practice location 3

1900 Randolph Rd Ste 800
Charlotte, NC 28207
Phone (704) 384-1246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahill761709@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
I20130829000756 NC Practitioner - Clinical Social Worker 9335382936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
Phone (980) 302-8850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Novant Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Monarch CurrentSince Jul 8, 2013 Accepting new patients
Monarch CurrentSince Jul 8, 2013 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1457515843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WHITEHALL PARK DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734179",
            "telephone_number": "980-302-8850",
            "fax_number": "704-316-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Executive Center Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128858",
            "country_code": "US",
            "telephone_number": "704-525-3255 x5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Executive Center Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128858",
            "country_code": "US",
            "telephone_number": "704-525-3255 x5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Randolph Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28207",
            "country_code": "US",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "AUTUMN",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahill761709@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5700 Executive Center Dr",
            "address_2": "Suite 110",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.