Active NPI
Grove Counseling
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1649833229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GROVE COUNSELING
- Practice address
- 6813 Fairview Rd Ste C
Charlotte, NC 28210-3364 - Phone
- (347) 377-2733
- Fax
- (704) 909-4009
- NPI assigned
- Apr 18, 2019
- 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
- Breeanna Teresa Faleschini, LCSW
- Title
- Owner
- Phone
- (612) 508-9403
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6813 Fairview Rd Ste C
Charlotte, NC 28210-3364
Mailing address
6813 Fairview Rd Ste C
Charlotte, NC 28210-3364
Phone (347) 377-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780873059 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Social Worker
- Charlotte, NC
- NPI 1780873059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1649833229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6813 FAIRVIEW RD STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103364",
"telephone_number": "347-377-2733",
"fax_number": "704-909-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6813 FAIRVIEW RD STE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103364",
"telephone_number": "347-377-2733",
"fax_number": "704-909-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "FALESCHINI",
"authorized_official_first_name": "BREEANNA",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-508-9403",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780873059",
"state": null
}
],
"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 Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.