Active NPI
Florence Crittenton Services
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1487787040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FLORENCE CRITTENTON SERVICES
- Practice address
- 1300 Blythe Blvd
Charlotte, NC 28203-5873 - Phone
- (704) 372-4663
- Fax
- (704) 334-8167
- NPI assigned
- Mar 13, 2007
- 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
- Mrs. Marilyn Gaither Thompson, MSW
- Title
- Ceo
- Phone
- (704) 372-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1300 Blythe Blvd
Charlotte, NC 28203-5873
Mailing address
PO Box 36392
Charlotte, NC 28236-6392
Phone (704) 372-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005843 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1300 Blythe Blvd
Charlotte, NC 28203
Phone (704) 372-4663
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Charlotte, NC
- NPI 1801028659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487787040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36392",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282366392",
"telephone_number": "704-372-4663",
"fax_number": "704-334-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035873",
"telephone_number": "704-372-4663",
"fax_number": "704-334-8167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE CRITTENTON SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "GAITHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-372-4663",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005843",
"state": "NC"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.