Elizabeth Ross Abowd, LCSWA

Individual provider Active NPI Clinical Social Worker · Charlotte, NC

NPI 1831703032 · NPPES record last updated Jun 14, 2022

Key facts

NPI
1831703032
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P013836 (NC)
Practice address
1945 J N Pease PL Ste 202
Charlotte, NC 28262-4512
Phone
(704) 228-1403
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P013836NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Clincal Services Clinical Past
since Mar 28, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013836 NC Yes

Addresses

Primary practice location

1945 J N Pease PL Ste 202
Charlotte, NC 28262-4512

Mailing address

1945 J N Pease PL Ste 202
Charlotte, NC 28262-4512
Phone (704) 228-1403

Other providers in Charlotte, NC

All providers in Charlotte, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.