Tia Wheeler Conway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013304 Issued in NC

Practice address

1235 Nesters Store PL SW
Concord, NC 28027-8988

Phone

(803) 792-7071

NPI assigned

Apr 3, 2018

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lotus Holistic Therapy Center PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1578148011
  NPD

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1851897409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 NESTERS STORE PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NESTERS STORE PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278988",
            "telephone_number": "803-792-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Executive Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128833",
            "country_code": "US",
            "telephone_number": "704-330-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 Signal Hill Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286254391",
            "country_code": "US",
            "telephone_number": "704-871-1045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 East Morehead Street Suite 105",
            "address_2": "#3138",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28202",
            "country_code": "US",
            "telephone_number": "980-202-1306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6204 Castleglen Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282698300",
            "country_code": "US",
            "telephone_number": "704-713-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "TIA",
        "middle_name": "WHEELER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012294",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Connelly, MD
• Colleen Carol Conner, LCSW
• Rosolena Visco Conroy, M.D.
• Contact Lens & Spectacle Shop, LLC
• Bradley Conway, D.M.D.
• Amanda Lynn Cook, MD
• Asja Cook
• Daniel R Cook, D.D.S., M.D.
• Laura Kathryn Cook, MA
• Lydia Cauthren Cook, NP

• 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 Aug 29, 2023; 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.