Individual provider Active NPI

Ashley Rose McGurkin, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1902298920
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008541 Issued in NC
Practice address
5950 Fairview Rd Ste 740
Charlotte, NC 28210
Phone
(704) 457-8222
Fax
(833) 230-5606
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008541 NC Primary

Addresses

Primary practice location

5950 Fairview Rd Ste 740
Charlotte, NC 28210

Mailing address

5950 Fairview Rd Ste 740
Charlotte, NC 28210-3142
Phone (704) 457-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C008541NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Queen City Counseling & Consulting, PLLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

5950 Fairview Rd
Ste 740
Charlotte, NC 28210
Phone (704) 457-8222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1902298920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 740",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103142",
            "telephone_number": "704-457-8222",
            "fax_number": "833-230-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 740",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-457-8222",
            "fax_number": "833-230-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGURKIN",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.