Individual provider Active NPI

Zakiya Zawadi Mitchell

  • Clinical Social Worker
  • Huntersville, NC
National Provider Identifier
1730991795
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021586 Issued in NC
Practice address
16507A Northcross Dr Ste 109
Huntersville, NC 28078-5081
Phone
(704) 284-7330
NPI assigned
Jan 24, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 P021586 NC Primary

Addresses

Primary practice location

16507A Northcross Dr Ste 109
Huntersville, NC 28078-5081

Mailing address

2030 Rex Chapman Dr Apt 208
Charlotte, NC 28215-6422
Phone (347) 849-6098

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
P021586NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Tree Empowerment Center LLC Clinical CurrentSince Feb 2, 2025 Accepting new patients

Locations

16507 Northcross Dr
Ste 109
Huntersville, NC 28078
Phone (704) 284-7330

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": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1730991795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 REX CHAPMAN DR APT 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282156422",
            "telephone_number": "347-849-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507A NORTHCROSS DR STE 109",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "704-284-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ZAKIYA",
        "middle_name": "ZAWADI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.