Individual provider Active NPI

Christine Avril Roberts-Elliott, MSW, LCSW

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1700928892
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005806 Issued in NC
Practice address
2816 Williams Station Rd
Matthews, NC 28105
Phone
(704) 705-5110
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 C005806 NC Primary

Addresses

Primary practice location

2816 Williams Station Rd
Matthews, NC 28105

Mailing address

2816 Williams Station Rd
Matthews, NC 28105
Phone (704) 705-5110

Other practice location 1

243-A Town Centre Dr
Locust, NC 28083
Phone (704) 781-0029

Other practice location 2

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3271
Phone (980) 302-8611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crobertselliott44471@direct.novanthealth.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005806NCMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: crobertselliott44471@direct.novanthealth.org

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1700928892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 WILLIAMS STATION RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-705-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 WILLIAMS STATION RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-705-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243-A Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "28083",
            "country_code": "US",
            "telephone_number": "704-781-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6324 Fairview Rd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103271",
            "country_code": "US",
            "telephone_number": "980-302-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS-ELLIOTT",
        "first_name": "CHRISTINE",
        "middle_name": "AVRIL",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crobertselliott44471@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "243-A Town Centre Dr",
            "city": "Locust",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.