Individual provider Active NPI

Candace Charlene Payne-Butler, L.C.S.W.

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1518078237
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005426 Issued in NC
Practice address
5820 E WT Harris Blvd
Suite 211
Charlotte, NC 28215-3541
Phone
(704) 277-7031
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 C005426 NC Primary

Addresses

Primary practice location

5820 E WT Harris Blvd
Suite 211
Charlotte, NC 28215-3541

Mailing address

2820 Ireton PL
Kannapolis, NC 28083-4470
Phone (704) 277-7031

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
I20070129000486 NC Practitioner - Clinical Social Worker 7214938539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ultra Violet Mental HealthGroup PAC ID 2365792074, 5 clinicians

Practice addresses (Care Compare)

1930 Jake Alexander Blvd W
Suite 1020
Salisbury, NC 28147-1269
Phone (704) 870-8108

2820 Ireton PL
Kannapolis, NC 28083-4470
Phone (704) 277-7031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005426NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 14, 2025 Accepting new patients
Payne-Butler Inc CurrentSince Jun 14, 2022 Accepting new patients
Salisbury Psychiatric Associates PC CurrentSince Feb 20, 2008 Accepting new patients
Ultra Violet Mental Health Clinical CurrentSince Oct 9, 2025 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

427 W Innes St
Salisbury, NC 28144
Phone (704) 357-5151

1930 Jake Alexander Blvd W
Ste 1020
Salisbury, NC 28147
Phone (704) 870-8108

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1518078237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 IRETON PL",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280834470",
            "telephone_number": "704-277-7031",
            "fax_number": "704-270-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E WT HARRIS BLVD",
            "address_2": "SUITE 211",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153541",
            "telephone_number": "704-277-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-BUTLER",
        "first_name": "CANDACE",
        "middle_name": "CHARLENE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.