Active NPI
Lekeshia Miltanette Lynch, LCSW-A
- Clinical Social Worker
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011079
- Practice address
- 140 Cabarrus Ave W
Concord, NC 28025-5150 - Phone
- (704) 918-5494
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | C011079 | NC | Primary |
Addresses
Primary practice location
140 Cabarrus Ave W
Concord, NC 28025-5150
Mailing address
4311 School House CMNS # 140
Harrisburg, NC 28075-7510
Phone (704) 699-9375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114421310 | Medicaid | NC | |
| 1568899706 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Counseling | Clinical | Current | Accepting new patients |
| Living Well Senior Care Inc. | Current | Accepting new patients | |
| The International Center for Wellness Counseling and Consulting | Clinical | Current | Accepting new patients |
| Concrete Roses Life Center | Current | Accepting new patients |
Locations
2040 Randolph Rd
Ste A
Charlotte, NC 28207
Phone (704) 377-1948
140 Cabarrus Ave W
Concord, NC 28025
Phone (704) 239-6321
4311 School House Cmns
Harrisburg, NC 28075
Phone (704) 436-4078
4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Charlotte, NC
- NPI 1508360892
-
- Clinical Social Worker
- Columbia, SC
- NPI 1992250682
-
- In Home Supportive Care Agency
- Concord, NC
- NPI 1487272357
-
- Clinical Social Worker
- Concord, NC
- NPI 1114421310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1568899706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 SCHOOL HOUSE CMNS # 140",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757510",
"telephone_number": "704-699-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CABARRUS AVE W",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255150",
"telephone_number": "704-918-5494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "LEKESHIA",
"middle_name": "MILTANETTE",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114421310",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568899706",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.