Organization Active NPI

Rew Works Counseling Services, LLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1730385527
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004146 Issued in NC
Legal business name
REW WORKS COUNSELING SERVICES, LLC
Practice address
8430 University Executive Park Dr
Suite 608
Charlotte, NC 28262
Phone
(704) 593-1106
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Desiree Rew, LCSW
Title
Licensed Clinical Social Worker
Phone
(704) 593-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C004146 NC Primary

Addresses

Primary practice location

8430 University Executive Park Dr
Suite 608
Charlotte, NC 28262

Mailing address

PO Box 561132
Charlotte, NC 28256-1132
Phone (704) 593-1106

Other identifiers 1

IdentifierTypeStateIssuer
6005363MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1730385527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561132",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282561132",
            "telephone_number": "704-593-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXECUTIVE PARK DR",
            "address_2": "SUITE 608",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-593-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REW WORKS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "REW",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-593-1106",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005363",
            "state": "NC"
        }
    ],
    "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 Jun 9, 2008; 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.