Individual provider Active NPI

Donovan Hall, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1689497190
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021508 Issued in NC
Practice address
801 Clanton Rd Ste Rc114
Charlotte, NC 28217-1372
Phone
(704) 840-6088
Fax
(800) 506-0738
NPI assigned
Nov 4, 2024
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 P021508 NC Primary

Addresses

Primary practice location

801 Clanton Rd Ste Rc114
Charlotte, NC 28217-1372

Mailing address

801 Clanton Rd Ste Rc114
Charlotte, NC 28217-1372
Phone (704) 840-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021508NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solari Mental and Behavioral Health Services CurrentSince Nov 10, 2024 Accepting new patients

Locations

5500 Executive Center Dr
Ste 235
Charlotte, NC 28212
Phone (704) 493-8619

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1689497190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD STE RC114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-840-6088",
            "fax_number": "800-506-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD STE RC114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-840-6088",
            "fax_number": "800-506-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DONOVAN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021508",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2026; 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.