Dejah Alston
Individual provider Active NPI Clinical Social Worker · Charlotte, NC
NPI 1962049361 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1962049361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P014279 (NC)
- Practice address
- 515 Clanton Rd
Charlotte, NC 28217-1309 - Phone
- (704) 332-9001
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014279 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Another Level Counseling and Consultation PLLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014279 | NC | Yes |
Addresses
Primary practice location
515 Clanton Rd
Charlotte, NC 28217-1309
Mailing address
515 Clanton Rd
Charlotte, NC 28217-1309
Other providers in Charlotte, NC
- Brandon B Alspaugh
- Kristen Alspaugh
- Alston Solutions
- Alexis Alston
- Brittany Alston
- Elijah Terrell Alston
- Jaquette Alston
- Keisha L. Alston
- Linda Muchell Alston
- Makaelyn Ann Alston
All providers in Charlotte, 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 Dec 4, 2019. 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.