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

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 and National Provider Directory roles.

• Lotus Holistic Therapy Center PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1578148011

  Clinical

  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": "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"
        },
        {
            "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": "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": "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"
        }
    ],
    "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

• All providers in Concord, NC
• 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.