Active NPI
Kyle Stamper
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1568314078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P023408
- Practice address
- 110 E 36TH St Apt 564
Charlotte, NC 28206-0068 - Phone
- (614) 302-5850
- NPI assigned
- Feb 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P023408 | NC | Primary |
Addresses
Primary practice location
110 E 36TH St Apt 564
Charlotte, NC 28206-0068
Mailing address
1200 Lancashire Dr
Fort Mill, SC 29707-8688
Phone (614) 302-5850
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
| License | State | Type | Specialty |
|---|---|---|---|
| P023408 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1568314078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LANCASHIRE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297078688",
"telephone_number": "614-302-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 36TH ST APT 564",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282060068",
"telephone_number": "614-302-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMPER",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P023408",
"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 Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.