Organization Active NPI

Poised Therapy PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1952121691
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POISED THERAPY PLLC
Practice address
4009 Corning PL Ste E2-341
Charlotte, NC 28216-1299
Phone
(980) 422-9542
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Clarissa Pena-CorthellNPI 1538940440
Title
Dir of Programs & Clinical Therapy
Phone
(980) 422-9542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4009 Corning PL Ste E2-341
Charlotte, NC 28216-1299

Mailing address

4009 Corning PL Ste E2-341
Charlotte, NC 28216-1299
Phone (980) 422-9542

National Provider Directory

National Provider Directory

Locations

4009 Corning Pl
Ste E2341
Charlotte, NC 28216
Phone (980) 422-9542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1952121691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CORNING PL STE E2-341",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161299",
            "telephone_number": "980-422-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CORNING PL STE E2-341",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161299",
            "telephone_number": "980-422-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POISED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "PENA-CORTHELL",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "DIR OF PROGRAMS & CLINICAL THERAPY",
        "authorized_official_telephone_number": "980-422-9542"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 16, 2024; 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.