Active NPI
Racquel Delyte Ward, LCAS, LCSWA
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1972742690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1619
- Practice address
- 1123 S Church St
Charlotte, NC 28203-4003 - Phone
- (704) 370-3227
- Fax
- (704) 370-3377
- NPI assigned
- Feb 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P010401 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1619 | NC | Primary |
Addresses
Primary practice location
1123 S Church St
Charlotte, NC 28203-4003
Mailing address
1123 S Church St
Charlotte, NC 28203-4003
Phone (704) 370-3227
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 |
|---|---|---|---|
| 1619 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P010401 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Diocese of Charlotee | Past | Accepting new patients |
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.
-
- Counselor
- Charlotte, NC
- NPI 1144349630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1972742690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 S CHURCH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034003",
"telephone_number": "704-370-3227",
"fax_number": "704-370-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 S CHURCH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034003",
"telephone_number": "704-370-3227",
"fax_number": "704-370-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "RACQUEL",
"middle_name": "DELYTE",
"name_prefix": "Ms.",
"credential": "LCAS, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P010401",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1619",
"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 Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.