Deborah Revels, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022428 Issued in NC

Practice address

7733 Ballantyne Commons Pkwy Ste 201C
Charlotte, NC 28277-4396

Phone

(980) 244-0490

NPI assigned

Jul 4, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1871483511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 BALLANTYNE COMMONS PKWY STE 201C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774396",
            "telephone_number": "980-244-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 BALLANTYNE COMMONS PKWY STE 201C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774396",
            "telephone_number": "980-244-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "DEBORAH",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Retarides, M.S., M.S., LPCA
• Kristina Retcho
• Grace Rettew
• Revamp & Prevail Therapy, PLLC
• Revelation Counseling, LLC
• Terica Larae Revels, FNP-C
• Sheley Rene' Revis, MD
• Revision Counseling and Wellness, PLLC.
• Revitalize Psychiatry, PLLC
• Revival Functional Nutrition PLLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 7, 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.