Katherine Elizabeth Sherry, LCSW
Individual provider Active NPI Clinical Social Worker · Charlotte, NC
NPI 1760708481 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1760708481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C010873 (NC)
- Practice address
- 1010 Edgehill Rd N
Charlotte, NC 28207-1885 - Phone
- (704) 446-1900
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Medical Center
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180226000800 | NC | Practitioner - Clinical Social Worker | 4082863261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C010873 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Premier Counseling Group PLLC | Past |
Accepting new patients | |
| Bostic Counseling & Consulting | Clinical | Past |
Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C010873 | NC | Yes |
Addresses
Primary practice location
1010 Edgehill Rd N
Charlotte, NC 28207-1885
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Charlotte, NC
- William Charles Sherrill III
- Alyssa Sherrin
- Sherrie Lynn Sherrin
- Bria Sherrod
- Ilene Gail Sherry
- Dhara Jimitkumar Sheth
- Priya Sheth
- SHG Consultants Inc
- Shields Youth Services LLC
- Bethany Shields
All providers in Charlotte, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.