Individual provider Active NPI

Chandra Ane Carter, SOCIAL WORKER

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1659609329
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015020 Issued in NC
Practice address
15015 Lancaster Hwy Ste 200
Charlotte, NC 28277-2010
Phone
(980) 202-7980
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009639A IN
Clinical Social Worker 1041C0700X 6801109435 MI
Clinical Social Worker 1041C0700X C015020 NC Primary

Addresses

Primary practice location

15015 Lancaster Hwy Ste 200
Charlotte, NC 28277-2010

Mailing address

8245 E 96TH St # 1091
Indianapolis, IN 46256-1013
Phone (765) 977-9443

Other practice location 1

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 235-3347

Other practice location 2

1500 North Ritter Avenue
Indianapolis, IN 46219-3027
Phone (317) 355-2560

Other practice location 3

15 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 235-3347

Other identifiers 1

IdentifierTypeStateIssuer
100270530AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231023003715 NC Practitioner - Clinical Social Worker 3678929908 Reassigns benefits to 2 organizations
I20231220002708 MI Practitioner - Clinical Social Worker 3678929908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

15015 Lancaster Hwy
Suite 200
Charlotte, NC 28277-2010
Phone (980) 202-7980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009639AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 15, 2023 Accepting new patients
NH-CL Clinics, LLC CurrentSince Sep 9, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

15015 Lancaster Hwy
Ste 200
Charlotte, NC 28277
Phone (980) 202-7980

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

855 Sam Newell Rd
Ste 204
Matthews, NC 28105
Phone (980) 202-6643

9101 Pineville Matthews Rd
Ste C4
Pineville, NC 28134
Phone (980) 202-7920

Interoperability endpoints

  • Direct secure messaging: ccarter1159136@direct.novanthealth.org

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1659609329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 E 96TH ST # 1091",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561013",
            "telephone_number": "765-977-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 LANCASTER HWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772010",
            "telephone_number": "980-202-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Page Rd",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748749",
            "country_code": "US",
            "telephone_number": "910-235-3347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 North Ritter Avenue",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193027",
            "country_code": "US",
            "telephone_number": "317-355-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Regional Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748850",
            "country_code": "US",
            "telephone_number": "910-235-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHANDRA",
        "middle_name": "ANE",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009639A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109435",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.