Constance McKenzie Bumgarner, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO23609 Issued in NC

Practice address

301 McCullough Dr Ste 520
Charlotte, NC 28262-1336

Phone

(704) 332-8787

NPI assigned

Sep 23, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1639082514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR STE 520",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621336",
            "telephone_number": "704-332-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARNER",
        "first_name": "CONSTANCE",
        "middle_name": "MCKENZIE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO23609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Joseph Bullock, D.C.
• Trish N Bullock, PHARMD
• Alicia Bullough, PA-C
• Anna Bulsa
• Martha Bumgardner, RPH
• Elizabeth Bumgarner
• Katherine Nicole Bumgarner, MSN
• Laurie Bumgarner, M.D.
• Lauren Nicole Bump, PA
• Chloe Bunch, PHARMD

• 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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.