Individual provider Active NPI

Lydia Grier, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1497337349
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014963 Issued in NC
Practice address
10200 Mallard Creek Rd Ste 102
Charlotte, NC 28262-9720
Phone
(704) 275-1910
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 P014963 NC Primary

Addresses

Primary practice location

10200 Mallard Creek Rd Ste 102
Charlotte, NC 28262-9720

Mailing address

10200 Mallard Creek Rd Ste 102
Charlotte, NC 28262-9720
Phone (704) 275-1910

Other practice location 1

3315 Springbank Ln Ste 302
Charlotte, NC 28226-3198
Phone (704) 879-1823

Other practice location 2

10700 Sikes Pl Ste 325
Charlotte, NC 28277-8208
Phone (704) 420-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P014963NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iop Services LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

10200 Mallard Creek Rd
Ste 102
Charlotte, NC 28262
Phone (704) 275-1910

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1497337349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 MALLARD CREEK RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629720",
            "telephone_number": "704-275-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 MALLARD CREEK RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629720",
            "telephone_number": "704-275-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Springbank Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263198",
            "country_code": "US",
            "telephone_number": "704-879-1823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Sikes Pl Ste 325",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778208",
            "country_code": "US",
            "telephone_number": "704-420-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIER",
        "first_name": "LYDIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014963",
            "primary": true
        }
    ],
    "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 Jan 9, 2025; 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.