Courtney B Diliberto, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010371 Issued in NC

Practice address

4415 Monroe Rd Ste 100
Charlotte, NC 28205-7743

Phone

(704) 332-3634

NPI assigned

Mar 8, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Create the Pause PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1356916357

  Clinical

  NPD Authorized official
• Carolina's Creative Counseling

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1215237516
  NPD (past)
• Carolina's Creative Counseling, PA

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1114156163
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568964260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MILLERTON AVE APT 1214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085122",
            "telephone_number": "704-975-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 MONROE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057743",
            "telephone_number": "704-332-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Millerton Ave Apt 1214",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282085122",
            "country_code": "US",
            "telephone_number": "704-975-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILIBERTO",
        "first_name": "COURTNEY",
        "middle_name": "B",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digital Ultrasound Associates
• Digitrace Care Services Inc
• Daren Diiorio, MD
• Shawnae Dike, LPC
• Rosa Anna Dileo, L.P.N.
• Joshua Diliberto
• E Matthew Dilizia, MD
• Kaitlyn Elisabeth Dill, DO
• Alison Claire Dillard, NP
• Kimbrie Dillard

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.