Organization Active NPI

Evolving to Independence

  • Social Worker
  • Charlotte, NC
National Provider Identifier
1487592911
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
EVOLVING TO INDEPENDENCE
Practice address
3515 David Cox Rd Unit 480682
Charlotte, NC 28269-2505
Phone
(704) 936-8634
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Callie BucknerNPI 1154992402
Title
President, Owner
Phone
(704) 936-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

3515 David Cox Rd Unit 480682
Charlotte, NC 28269-2505

Mailing address

6621 Meridale Forest Dr
Charlotte, NC 28269-3647

National Provider Directory

National Provider Directory

Locations

3515 David Cox Rd
Unit 480682
Charlotte, NC 28269
Phone (704) 936-8634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1487592911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 MERIDALE FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 DAVID COX RD UNIT 480682",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692505",
            "telephone_number": "704-936-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING TO INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "704-936-8634"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 24, 2026; 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.