Active NPI
Christopher Herndon, LCSW, LCAS, CSI
- Clinical Social Worker
- Cherokee, NC
National Provider Identifier
1801136189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007957
- Practice address
- 375 Sequoyah TRL
Cherokee, NC 28719 - Phone
- (828) 497-6892
- Fax
- (828) 497-6977
- NPI assigned
- Feb 22, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-14842 | NC | |
| Clinical Social Worker | 1041C0700X | C007957 | NC | Primary |
Addresses
Primary practice location
375 Sequoyah TRL
Cherokee, NC 28719
Mailing address
Caller Box C-268
Cherokee, NC 28719
Phone (828) 497-9163
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-14842 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C007957 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Acute Care Hospital
- Cherokee, NC
- NPI 1417331406
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1801136189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163",
"fax_number": "828-497-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SEQUOYAH TRL",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-6892",
"fax_number": "828-497-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNDON",
"first_name": "CHRISTOPHER",
"credential": "LCSW, LCAS, CSI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-22",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-14842",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.