Individual provider Active NPI

Lily Hackman, MSW

  • Social Worker
  • Charlotte, NC
National Provider Identifier
1598424459
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P022403 Issued in NC
Practice address
2813 Coltsgate Rd Ste 200
Charlotte, NC 28211-3585
Phone
(704) 362-3123
NPI assigned
Dec 8, 2021
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Social Worker 104100000X P022403 NC Primary

Addresses

Primary practice location

2813 Coltsgate Rd Ste 200
Charlotte, NC 28211-3585

Mailing address

416 Castlestone LN
Matthews, NC 28104-7239
Phone (810) 626-8329

Other practice location 1

1401 E 7th St
Charlotte, NC 28204-6300
Phone (801) 935-4171

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

LicenseStateTypeSpecialty
P022403NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1598424459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CASTLESTONE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281047239",
            "telephone_number": "810-626-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 COLTSGATE RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113585",
            "telephone_number": "704-362-3123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282046300",
            "country_code": "US",
            "telephone_number": "801-935-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "LILY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P022403",
            "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 Jul 24, 2025; 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.