Individual provider Active NPI

Malia Suhren, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1972280964
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018107 Issued in NC
Practice address
360 North Caswell Road.
Suite. 303
Charlotte, NC 28204
Phone
(704) 981-2676
Fax
(704) 228-0005
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018107 NC Primary

Addresses

Primary practice location

360 North Caswell Road.
Suite. 303
Charlotte, NC 28204

Mailing address

8508 Park Rd # 384
Charlotte, NC 28210-5803
Phone (704) 981-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218000525 NC Practitioner - Clinical Social Worker 6800376047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Medical Center IncorporatedGroup PAC ID 3173434479, 96 clinicians

Practice addresses (Care Compare)

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P018107NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Nov 10, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Nov 10, 2025 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

325 NC Highway 55 W
Mount Olive, NC 28365
Phone (919) 658-5900

4734 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-0070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1972280964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 PARK RD # 384",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105803",
            "telephone_number": "704-981-2676",
            "fax_number": "704-228-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 NORTH CASWELL ROAD.",
            "address_2": "SUITE. 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-981-2676",
            "fax_number": "704-228-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHREN",
        "first_name": "MALIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.