Individual provider Active NPI

Kristin Lee Meola, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1609067685
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005521 Issued in NC
Practice address
2200 E 7TH St
Charlotte, NC 28204-3340
Phone
(704) 376-7180
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005521 NC Primary

Addresses

Primary practice location

2200 E 7TH St
Charlotte, NC 28204-3340

Mailing address

1225 Estates Ave
3207
Charlotte, NC 28209-0255
Phone (919) 260-8568

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1609067685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ESTATES AVE",
            "address_2": "3207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282090255",
            "telephone_number": "919-260-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043340",
            "telephone_number": "704-376-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLA",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005521",
            "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 Aug 6, 2007; 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.