Individual provider Active NPI

Jennifer Isabel Piana, LCSW

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1487046074
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009405 Issued in NC
Practice address
2353 Concord Lake Rd Ste 160
Concord, NC 28025-2892
Phone
(704) 412-8850
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 P009405 NC Primary

Addresses

Primary practice location

2353 Concord Lake Rd Ste 160
Concord, NC 28025-2892

Mailing address

207 S Broad St
Mooresville, NC 28115-3500
Phone (704) 660-6854

Other identifiers 1

IdentifierTypeStateIssuer
C011473OtherNCNCSWB

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
I20250414003432 NC Practitioner - Clinical Social Worker 9032634829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009405NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Homes, LLC CurrentSince Jan 30, 2025 Accepting new patients

Locations

425 Ashley Ridge Blvd
Ste 340
Shreveport, LA 71106

2353 Concord Lake Rd
Ste 160
Concord, NC 28025
Phone (980) 781-5156

207 S Broad St
Mooresville, NC 28115
Phone (704) 912-1426

207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363

Organizations & group practices 1

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": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1487046074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BROAD ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153500",
            "telephone_number": "704-660-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 CONCORD LAKE RD STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252892",
            "telephone_number": "704-412-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANA",
        "first_name": "JENNIFER",
        "middle_name": "ISABEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSWB",
            "identifier": "C011473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.