Individual provider Active NPI

Mary Catherine Turner, LCSW, LISW-CP

  • Clinical Social Worker
  • Waxhaw, NC
National Provider Identifier
1497569198
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015361 Issued in NC
Practice address
8109 Pine Oak Rd
Waxhaw, NC 28173-9359
Phone
(704) 516-4065
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16124 SC
Clinical Social Worker 1041C0700X C015361 NC Primary

Addresses

Primary practice location

8109 Pine Oak Rd
Waxhaw, NC 28173-9359

Mailing address

8109 Pine Oak Rd
Waxhaw, NC 28173-9359

Other names 1

  • Mary Catherine Watson Former name

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
I20250418001731 NC Practitioner - Clinical Social Worker 0648795922 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

110 N Corcoran St
Durham, NC 27701-5015
Phone (323) 205-7088

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical North Carolina, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Sanctuary Counseling Group CurrentSince Mar 18, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince Mar 12, 2025 Accepting new patients

Locations

2129 E 7th St
Charlotte, NC 28204

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

Organizations & group practices 4

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1497569198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 PINE OAK RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 PINE OAK RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739359",
            "telephone_number": "704-516-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WATSON",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.