Cobblestone Counseling Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006688 Issued in NC

Legal business name

COBBLESTONE COUNSELING CENTER, PLLC

Practice address

19824 W Catawba Ave
Suite G-201
Cornelius, NC 28031-4046

Phone

(704) 433-6644

NPI assigned

Oct 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Candace M Farmer, MSW, LCSWNPI 1306085519

Title

Owner

Phone

(704) 433-6644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Mayberry Farmer, MSW, LCSW

  • Clinical Social Worker
  • Huntersville, NC
  • NPI 1306085519
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1831499086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2684",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280312684",
            "telephone_number": "704-433-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19824 W CATAWBA AVE",
            "address_2": "SUITE G-201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314046",
            "telephone_number": "704-433-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-433-6644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Counseling and Consulting PLLC
• Jackee Ijeoma Clement, MD
• Clementine Holistic Healing for Women '
• Ryan C Clifford, MA, LMFT
• Diamond Clinton
• Shaniqua Cobbs
• Hannah Coffee
• Cohesive Counseling Services, PLLC
• Gina Marie Coldren, DO
• Christen Cole, LPCA

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.