Active NPI
Rebecca Royston, LCSW
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009275
- Practice address
- 4108 Park Rd Ste 101
Charlotte, NC 28209-4207 - Phone
- (704) 326-2252
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009275 | NC | Primary |
Addresses
Primary practice location
4108 Park Rd Ste 101
Charlotte, NC 28209-4207
Mailing address
4108 Park Rd Ste 101
Charlotte, NC 28209-4207
Other practice location 1
1808 S Pennsylvania Ave
Suite C
Lansing, MI 48910-1897
Phone (517) 367-0670
Other practice location 2
1212 Mann Dr Ste 100
Matthews, NC 28105-5511
Phone (704) 326-2252
Other practice location 3
18121 W Catawba Ave
Cornelius, NC 28031-5641
Phone (704) 326-2252
Other names 1
- Rebecca Lynn Bryner
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009275 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflections Wellness Counseling, PLLC | Clinical | Current | Accepting new patients |
| Lindsey Morgan PLLC | Past | Accepting new patients | |
| DBT Institute of Mi | Clinical | Past | Accepting new patients |
Locations
4108 Park Rd
Ste 101
Charlotte, NC 28209
Phone (704) 326-2252
18121 W Catawba Ave
Cornelius, NC 28031
Phone (704) 237-0475
1212 Mann Dr
Ste 100
Matthews, NC 28105
Phone (704) 326-2252
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1235607631
-
- Marriage & Family Therapist
- Cornelius, NC
- NPI 1356721898
-
dba DBT Institute
- Psychiatric Residential Treatment Facility
- Mason, MI
- NPI 1982063889
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1902972391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 PARK RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 PARK RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094207",
"telephone_number": "704-326-2252"
}
],
"practiceLocations": [
{
"address_1": "1808 S Pennsylvania Ave",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489101897",
"country_code": "US",
"telephone_number": "517-367-0670",
"fax_number": "517-367-0681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1212 Mann Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281055511",
"country_code": "US",
"telephone_number": "704-326-2252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18121 W Catawba Ave",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280315641",
"country_code": "US",
"telephone_number": "704-326-2252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYSTON",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2020-09-13",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BRYNER",
"middle_name": "LYNN",
"credential": "LLMSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.