Black Magnolia Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLACK MAGNOLIA COUNSELING SERVICES PLLC

Practice address

10400 Mallard Creek Rd Ste 250
Charlotte, NC 28262-5202

Phone

(727) 349-4926

Fax

(727) 498-2489

NPI assigned

Nov 21, 2022

Last updated

Mar 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace Willms Linderman, LCSWNPI 1417578295

Title

Owner

Phone

(727) 349-4926

Specialties & licenses 1

Addresses

Locations

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.

• Grace Willms Linderman, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1417578295
  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1649989500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 MALLARD CREEK RD STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625202",
            "telephone_number": "727-349-4926",
            "fax_number": "727-498-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 MALLARD CREEK RD STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625202",
            "telephone_number": "727-349-4926",
            "fax_number": "727-498-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MAGNOLIA COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LINDERMAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "WILLMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-349-4926",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• BKD Personal Assistance Services LLC (Brookdale at Home Carriage Club)
• Cassandra Blacharski
• Laura Ann Black-Farrar, M.D.
• Ashley Black
• Ashley Black, LPCA
• Chelsea Nicole Black
• Dajah Black, MSW, LCSW

• 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 Mar 31, 2025; 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.