Charles Chadbourne McClintock, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010239 Issued in NC

Practice address

5013 Wrightsville Ave
Wilmington, NC 28403-7045

Phone

(910) 796-6868

Fax

(910) 796-6869

NPI assigned

Jul 23, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Helping Hand of Wilmington, LLCGroup PAC ID 0042351652, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• A Helping Hand of Wilmington

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1639378961
  Medicare reassignment Care Compare group NPD
• A Helping Hand of Wilmington

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1720429160
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1891137527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401B CHARLOTTE AVE",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285018",
            "telephone_number": "910-777-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037045",
            "telephone_number": "910-796-6868",
            "fax_number": "910-796-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "CHARLES",
        "middle_name": "CHADBOURNE",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn McCarthy, MS
• Mollie Block McCarthy, PHARMD
• Mariah Ashley McCaughey
• Renee Martin McCauley, LPC, NCC, M.ED.
• Aimee Victoria McClellan, LCSW
• Bethany Taylor McCloskey
• Deborah McClure, LCSWA, LCASA
• Katherine McCollum
• Robert Patrick McConekey, DPM
• Regina Lynette McConley, PHD, MPH

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.