Active NPI
Lillian Lashae Outlaw, LCSW
- Clinical Social Worker
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014975
- Practice address
- 122 Gateway Blvd Ste C
Mooresville, NC 28117-5544 - Phone
- (704) 360-3637
- NPI assigned
- Dec 20, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8874 | CT | |
| Clinical Social Worker | 1041C0700X | C014975 | NC | Primary |
Addresses
Primary practice location
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Mailing address
112 Camforth Dr
Mooresville, NC 28117-6858
Phone (203) 317-3333
Other practice location 1
19900 S Main St Ste 8&9
Cornelius, NC 28031-6512
Phone (704) 892-9490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
122 Gateway Blvd
Suite C
Mooresville, NC 28117-5544
Phone (704) 360-3637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8874 | CT | MD | Professional Counselor |
| C014975 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Solutions, PLLC | Clinical | Current | Accepting new patients |
Locations
10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930
3625 N Elm St
Ste 130
Greensboro, NC 27455
122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1760880959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CAMFORTH DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176858",
"telephone_number": "203-317-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GATEWAY BLVD STE C",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175544",
"telephone_number": "704-360-3637"
}
],
"practiceLocations": [
{
"address_1": "19900 S Main St Ste 8&9",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280316512",
"country_code": "US",
"telephone_number": "704-892-9490",
"fax_number": "704-892-9433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUTLAW",
"first_name": "LILLIAN",
"middle_name": "LASHAE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-20",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8874",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.