Kara L Ewing, LCSW P.L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

COO4626 Issued in NC

Legal business name

KARA L EWING, LCSW P.L.L.C.

Practice address

1931 J N Pease PL
Charlotte, NC 28262-4544

Phone

(704) 965-1218

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kara Lacey Ewing, LCSW

Title

Mental Health Therapist

Phone

(704) 965-1218

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1881858009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481656",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695314",
            "telephone_number": "704-965-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624544",
            "telephone_number": "704-965-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA L EWING, LCSW P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "LACEY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "704-965-1218",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "COO4626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  (USED WITH EMPLOYMENT WITH COMMUNITY MH AGENCY; APPLYING FOR PRIVATE PRACTI",
            "identifier": "1780617902",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003517",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.