Active NPI
Jennifer Cardona, LCSWA
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1972363323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020306
- Practice address
- 9055 Cresswind Blvd Ste 102
Charlotte, NC 28215-2272 - Phone
- (980) 299-7436
- Fax
- (980) 226-5507
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 | P020306 | NC | Primary |
Addresses
Primary practice location
9055 Cresswind Blvd Ste 102
Charlotte, NC 28215-2272
Mailing address
447 S Sharon Amity Rd Ste 105
Charlotte, NC 28211-2836
Phone (980) 299-7436
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
| License | State | Type | Specialty |
|---|---|---|---|
| P020306 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda K. Crowder, LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
447 S Sharon Amity Rd
Ste 105
Charlotte, NC 28211
Phone (980) 299-7436
9055 Cresswind Blvd
Ste 102
Charlotte, NC 28215
Phone (980) 299-7436
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1447647532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1972363323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 S SHARON AMITY RD STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112836",
"telephone_number": "980-299-7436",
"fax_number": "980-226-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 CRESSWIND BLVD STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152272",
"telephone_number": "980-299-7436",
"fax_number": "980-226-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "JENNIFER",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020306",
"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 Mar 21, 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.