Individual provider Active NPI

Evelyn S Murrell, LMSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1942858501
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013121 Issued in NC
Practice address
9635 Southern Pine Blvd Ste 123
Charlotte, NC 28273-5563
Phone
(980) 819-1920
NPI assigned
Aug 27, 2019
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C013121 NC Primary

Addresses

Primary practice location

9635 Southern Pine Blvd Ste 123
Charlotte, NC 28273-5563

Mailing address

757 Atherton Way
Rock Hill, SC 29730-8095
Phone (843) 344-2175

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
C013121NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Right Mentality, PLLC Clinical CurrentSince Aug 2, 2020 Accepting new patients

Locations

9635 Southern Pine Blvd
Ste 123
Charlotte, NC 28273
Phone (980) 216-8396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1942858501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 ATHERTON WAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297308095",
            "telephone_number": "843-344-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735563",
            "telephone_number": "980-819-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRELL",
        "first_name": "EVELYN",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013121",
            "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 20, 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.

Verify at the official NPI Registry.