Family Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004859 Issued in NC

Legal business name

FAMILY COUNSELING CENTER

Practice address

301 Medical Park Dr
Suite 202-B
Concord, NC 28025-2981

Phone

(704) 403-2692

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Kimber Mork, LCSW

Title

Clinical Social Work

Phone

(704) 403-2692

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1487948600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEDICAL PARK DR",
            "address_2": "SUITE 202-B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252981",
            "telephone_number": "704-403-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDICAL PARK DR",
            "address_2": "SUITE 202-B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252981",
            "telephone_number": "704-403-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "MORK",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "704-403-2692",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106674",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia Natashia Fairley, LCMHC
• Amber Dawn Falcon
• Elizabeth Nicole Fallon, B.S.,M.A, LPCA, NCC
• Kelsey T Falvey, PT
• Family Advocate LLC
• Family Over All, LLC
• Family Over All, LLC
• Walter Lee Fanning Jr., M.D.
• Meredith Farley, LAT, ATC, SCAT
• Elissa Noel Farmer, P.A.-C

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.