Charles Richard Panther, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Canton, NC
NPI 1922175355 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1922175355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C004383 (NC)
- Practice address
- 30 Pennsylvania Ave
Canton, NC 28716 - Phone
- (828) 538-1383
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004383 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Band of Cherokee Indians | Past | Accepting new patients | |
| Eastern Band of Cherokee Indians | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004383 | NC | Yes |
Addresses
Primary practice location
30 Pennsylvania Ave
Canton, NC 28716
Mailing address
30 Pennsylvania Ave
Canton, NC 28716
Phone (828) 538-1383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142GN | Other | NC | BC BS OF NC |
| 6106086 | Medicaid | NC |
Other providers in Canton, NC
- New Mountain Eye Associates PLLC
- Christopher Nkanyi Nkongnchu
- Katelyn Daquriea Noell
- Ann Nelson Norris
- Kelsie Paige Ormsby
- Susan E Partlow
- Peak Physical Therapy & Rehabilitation Inc
- Gabriella Pennell
- Amy Perlow
- Pigeon Valley Rest Home LLC
All providers in Canton, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.