Active NPI
Leposava Lepa Modie, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1982712808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004793
- Practice address
- 10720 Carmel Commons Blvd Ste 320a
Lepa Modie LCSW, PLLC
Charlotte, NC 28226-3955 - Phone
- (704) 733-7040
- Fax
- (704) 552-9588
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | C004793 | NC | Primary |
Addresses
Primary practice location
10720 Carmel Commons Blvd Ste 320a
Lepa Modie LCSW, PLLC
Charlotte, NC 28226-3955
Mailing address
10720 Carmel Commons Blvd Ste 320a
Lepa Modie LCSW, PLLC
Charlotte, NC 28226-3955
Phone (704) 733-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003742 | Medicaid | NC |
Other names 1
- Mrs. Leposava Lepa Modie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2024 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004793 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1982712808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10720 CARMEL COMMONS BLVD STE 320A",
"address_2": "LEPA MODIE LCSW, PLLC",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263955",
"telephone_number": "704-733-7040",
"fax_number": "704-552-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10720 CARMEL COMMONS BLVD STE 320A",
"address_2": "LEPA MODIE LCSW, PLLC",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263955",
"telephone_number": "704-733-7040",
"fax_number": "704-552-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODIE",
"first_name": "LEPOSAVA",
"middle_name": "LEPA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003742",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEPOSAVA",
"last_name": "MODIE",
"middle_name": "LEPA",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.