First Care Medical Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIRST CARE MEDICAL CLINIC

Practice address

404 S Sutherland Ave
Monroe, NC 28112-5060

Phone

(704) 291-9267

Fax

(704) 283-7939

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venus E. Allen, LCSWA LCASA CMCNPI 1164889218

Title

Counselor

Phone

(919) 807-1090

Specialties & licenses 3

Addresses

Tax ID family

First Care Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• First Care Medical Clinic

  • Non-emergency Medical Transport (VAN)
  • Monroe, NC
  • NPI 1962277970
  NPD tax ID
• First Care Medical Clinic, PA

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1922963529
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venus E. Allen, LCSWA, LCASA, CCM

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1164889218
  Authorized official Same address or phone

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1568239259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125060",
            "telephone_number": "704-291-9267",
            "fax_number": "704-283-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125060",
            "telephone_number": "704-291-9267",
            "fax_number": "704-283-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "919-807-1090",
        "authorized_official_credential": "LCSWA LCASA CMC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanila Patel Fields, PA-C
• Erin Figueroa
• Matthew Joseph Findlay, MD
• Latisha Finney
• First Care Homes LLC
• First Care Medical Clinic
• First Care Medical Clinic, PA (First Care Medical Clinic)
• First Choice Supply, Inc (First Choice Supply)
• Kelsey Fish, LPCA
• Mark Todd Fishel, D.C.

• Clinical Social Worker in Monroe, NC
• Providers in Monroe, 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 Dec 4, 2023; 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.