Individual provider Active NPI

Racquel Delyte Ward, LCAS, LCSWA

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1972742690
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1619 Issued in NC
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

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1619NCMDAddiction (Substance Use Disorder) Counselor
P010401NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.