Joseph Nissen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010807 Issued in NC

Practice address

11433 Baystone PL
Concord, NC 28025-9107

Phone

(601) 624-2437

NPI assigned

May 14, 2015

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charlotte Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matthews, NC
  • NPI 1609390046
  NPD Authorized official
• Institute of Purpose

  • Clinical Social Worker
  • Concord, NC
  • NPI 1104749373
  NPD (past) Authorized official

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1851779508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 ROLLINS POINTE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107117",
            "telephone_number": "601-624-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11433 BAYSTONE PL",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259107",
            "telephone_number": "601-624-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Nicholson Jr., MD
• David L. Nickelson, M.S.W., L.C.S.W.
• Misty Nickowski
• Yana Anatolievna Nikitina, MD
• Brianna Leigh Nino
• Marilyn R Nixon, LPN
• Noble Thomas LLC
• Caitlin A. Noble, MD
• Denise P Noble, PHARM.D
• Hailley Noble

• Clinical Social Worker in Concord, NC
• Providers in Concord, 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 Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.