Sherry Beth Deedrick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004872 Issued in NC

Practice address

360 N Caswell Rd # 303
Charlotte, NC 28204-2442

Phone

(704) 981-2676

Fax

(704) 228-0005

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Counseling of Charlotte PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1104334580
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1669957981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N CASWELL RD # 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042442",
            "telephone_number": "704-981-2676",
            "fax_number": "704-228-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N CASWELL RD # 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042442",
            "telephone_number": "704-981-2676",
            "fax_number": "704-228-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDRICK",
        "first_name": "SHERRY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedicated Physicians Group of North Carolina PLLC
• Dedicated Physicians Group of North Carolina PLLC
• Anna Dediemar, OTR/L
• Dee Veggie Chef & Rd, LLC
• Dee Veggie Nutrition
• Morgan Ciara Deehan
• Donald Ellis Deep, DO
• Deeptha Surampudi DDS PC
• Morgan Deer, FNP
• Eva Barbara Deerenberg, MD

• 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 Oct 2, 2018; 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.