Active NPI
William Humphrey
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1962307876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P023682
- Practice address
- 3126 Milton Rd
Charlotte, NC 28215-3778 - Phone
- (704) 930-0680
- Fax
- (855) 655-2688
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | P023682 | NC | Primary |
Addresses
Primary practice location
3126 Milton Rd
Charlotte, NC 28215-3778
Mailing address
8640 University City Blvd Ste A3-153
Charlotte, NC 28213-3501
Phone (704) 930-0680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1962307876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8640 UNIVERSITY CITY BLVD STE A3-153",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133501",
"telephone_number": "704-930-0680",
"fax_number": "855-655-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 MILTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153778",
"telephone_number": "704-930-0680",
"fax_number": "855-655-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P023682",
"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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.