Active NPI
Samantha M Newton, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1750639332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009101
- Practice address
- 321 East Boulevard
Suite 3
Charlotte, NC 28203 - Phone
- (704) 307-0419
- NPI assigned
- Aug 29, 2012
- Last updated
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P007351 | NC | |
| Clinical Social Worker | 1041C0700X | C009101 | NC | Primary |
Addresses
Primary practice location
321 East Boulevard
Suite 3
Charlotte, NC 28203
Mailing address
801 E Morehead St Ste 105
# 3116
Charlotte, NC 28202-2730
Phone (704) 307-0419
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
| License | State | Type | Specialty |
|---|---|---|---|
| P007351 | NC | MD | Mental Health Counselor |
| C009101 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Suite PLLC | Current | Accepting new patients |
Locations
801 E Morehead St
Ste 105
Charlotte, NC 28202
Phone (704) 820-4293
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.
-
- Clinic/Center
- Charlotte, NC
- NPI 1912672932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1750639332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E MOREHEAD ST STE 105",
"address_2": "# 3116",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022730",
"telephone_number": "704-307-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 EAST BOULEVARD",
"address_2": "SUITE 3",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-307-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "SAMANTHA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P007351",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009101",
"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 Feb 18, 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.