Individual provider Active NPI

Carl Dowdell, LCSW, LCAS

  • Clinical Social Worker
  • Shelby, NC
National Provider Identifier
1831557016
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011454 Issued in NC
Practice address
1201 S Post Rd Ste 100
Shelby, NC 28152-7438
Phone
(704) 481-7001
Fax
(704) 445-4582
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22756 NC
Clinical Social Worker 1041C0700X C011454 NC Primary

Addresses

Primary practice location

1201 S Post Rd Ste 100
Shelby, NC 28152-7438

Mailing address

1201 S Post Rd Ste 100
Shelby, NC 28152-7438
Phone (704) 481-7001

Other practice location 1

6900 Farmingdale Dr
Charlotte, NC 28212-5551
Phone (704) 536-6853 ext. 218

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912001297 NC Practitioner - Clinical Social Worker 0042560070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22756NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. CurrentSince Apr 1, 2023 Accepting new patients
Phoenix Counseling Center Addiction (Substance Use Disorder) PastSince Jul 17, 2021 Accepting new patients
Phoenix Counseling Center Addiction (Substance Use Disorder) PastSince Feb 14, 2021 Accepting new patients

Locations

4444 The Plaza
Unit 18
Charlotte, NC 28215

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

Interoperability endpoints

  • Direct secure messaging: carl.dowdell.1@27775.direct.athenahealth.com

Organizations & group practices 3

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1831557016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S POST RD STE 100",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527438",
            "telephone_number": "704-481-7001",
            "fax_number": "704-445-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S POST RD STE 100",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527438",
            "telephone_number": "704-481-7001",
            "fax_number": "704-445-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Farmingdale Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282125551",
            "country_code": "US",
            "telephone_number": "704-536-6853 x218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWDELL",
        "first_name": "CARL",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.