Individual provider Active NPI

Megan Grubbs Fischetti, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1649849654
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
447 S Sharon Amity Rd Ste 105
Charlotte, NC 28211-2836
Phone
(980) 299-7436
Fax
(980) 226-5507
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 NC Primary

Addresses

Primary practice location

447 S Sharon Amity Rd Ste 105
Charlotte, NC 28211-2836

Mailing address

1540 Pecan Ave
Charlotte, NC 28205-3452
Phone (804) 517-0795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250330000019 VA Practitioner - Clinical Social Worker 1658894746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Counseling and Psychotherapy LLCGroup PAC ID 2163812066, 13 clinicians

Practice addresses (Care Compare)

4460 Corporation LN
Suite 300
Virginia Beach, VA 23462-3150
Phone (757) 376-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling and Psychotherapy LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Amanda K. Crowder, LCSW, PLLC Clinical CurrentSince Jul 20, 2021 Accepting new patients

Locations

447 S Sharon Amity Rd
Ste 105
Charlotte, NC 28211
Phone (980) 299-7436

505 S Independence Blvd
Ste 213
Virginia Beach, VA 23452
Phone (757) 376-8167

4460 Corporation Ln
Ste 300
Virginia Beach, VA 23462
Phone (757) 376-8167

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1649849654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PECAN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053452",
            "telephone_number": "804-517-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112836",
            "telephone_number": "980-299-7436",
            "fax_number": "980-226-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHETTI",
        "first_name": "MEGAN",
        "middle_name": "GRUBBS",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.