Individual provider Active NPI

Jennifer Cardona, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1972363323
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020306 Issued in NC
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

Updated by the provider on Mar 21, 2024

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 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

LicenseStateTypeSpecialty
P020306NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda K. Crowder, LCSW, PLLC Clinical CurrentSince Mar 24, 2024 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.

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.

Verify at the official NPI Registry.