Active NPI
Andrea Laniece Cole, MSW, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1932629664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013035
- Practice address
- 10436 Grobie Way
Charlotte, NC 28216-0203 - Phone
- (980) 785-4465
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
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 | C013035 | NC | Primary |
Addresses
Primary practice location
10436 Grobie Way
Charlotte, NC 28216-0203
Mailing address
10436 Grobie Way Apt 306
Charlotte, NC 28216-0204
Phone (980) 785-4465
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
| License | State | Type | Specialty |
|---|---|---|---|
| C013035 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honor Your Presence PLLC | Clinical | Current | Accepting new patients |
| Anderson Counseling and Consulting Group, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greensboro, NC
- NPI 1093600843
Clinical
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1629416029
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1932629664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10436 GROBIE WAY APT 306",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282160204",
"telephone_number": "980-785-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10436 GROBIE WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282160203",
"telephone_number": "980-785-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ANDREA",
"middle_name": "LANIECE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013035",
"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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.