Active NPI
Crossroads Therapy LLC
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1629497300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005971
- Legal business name
- CROSSROADS THERAPY LLC
- Practice address
- 3440 Toringdon Way
Suite 205
Charlotte, NC 28277-3190 - Phone
- (704) 325-5850
- Fax
- (704) 585-1086
- NPI assigned
- Apr 10, 2014
- Last updated
- Jul 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley Hijin Brown, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (704) 877-8655
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006772 | NC | |
| Clinical Social Worker | 1041C0700X | C006866 | NC | |
| Clinical Social Worker | 1041C0700X | C005971 | NC | Primary |
Addresses
Primary practice location
3440 Toringdon Way
Suite 205
Charlotte, NC 28277-3190
Mailing address
3440 Toringdon Way
Suite 205
Charlotte, NC 28277-3190
Phone (704) 325-5850
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1922311075
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1639333271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405296000000",
"number": "1629497300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 TORINGDON WAY",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773190",
"telephone_number": "704-325-5850",
"fax_number": "704-585-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 TORINGDON WAY",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773190",
"telephone_number": "704-325-5850",
"fax_number": "704-585-1086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-10",
"last_updated": "2014-07-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "HIJIN",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "704-877-8655",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006772",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006866",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Mary Knox Cross, MD
- Mattie Cross, MS, CCC-SLP
- Crossover
- Crossover Health Medical Group
- Crossroads Counseling and Coaching, PLLC
- Crossroads Treatment Centers of North Carolina, P.C. (Crossroads Treatment Centers Charlotte)
- Cassandra B Crosston, OTR/L
- Crossway Counseling Solutions, LLC
- Crossway, Inc. (Crossway Pediatric Therapy)
- Allison Anne Crotty, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.