Active NPI
Mon S Nhim
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1992200877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO10707
- Practice address
- 415 Finn LN Apt 31838
Charlotte, NC 28262-3832 - Phone
- (704) 277-2062
- NPI assigned
- Mar 24, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PO10707 | NC | |
| Mental Health Counselor | 101YM0800X | PO10707 | NC | |
| Clinical Social Worker | 1041C0700X | PO10707 | NC | Primary |
Addresses
Primary practice location
415 Finn LN Apt 31838
Charlotte, NC 28262-3832
Mailing address
415 Finn LN Apt 1838
Charlotte, NC 28262-3834
Phone (704) 277-2062
Other practice location 1
4822 Albemarle Rd Ste 112A
Charlotte, NC 28205-6668
Phone (704) 493-2238
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 |
|---|---|---|---|
| PO10707 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1992200877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 FINN LN APT 1838",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623834",
"telephone_number": "704-277-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 FINN LN APT 31838",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623832",
"telephone_number": "704-277-2062"
}
],
"practiceLocations": [
{
"address_1": "4822 Albemarle Rd Ste 112A",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282056668",
"country_code": "US",
"telephone_number": "704-493-2238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NHIM",
"first_name": "MON",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "PO10707",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "PO10707",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO10707",
"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 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.