Sophire Marie Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018260 Issued in NC

Practice address

5820 E W T Harris Blvd Ste 109
Charlotte, NC 28215-3600

Phone

(704) 269-8263

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Counseling and Development 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Piedmont Counseling and Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NC
  • NPI 1548770480

  Multi-Specialty, NC

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD
• Beyond Listening PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NC
  • NPI 1497360655
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1992278519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 RIDGEWOOD AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055740",
            "telephone_number": "252-521-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E W T HARRIS BLVD STE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153600",
            "telephone_number": "704-269-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SOPHIRE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotes Nelson, LPC, NCC
• Morgan Lorick Nelson, FNP
• Noura Zahra Nelson, PA-C
• Samantha Nelson
• Shaquill Nelson
• Stephanie Nelson
• Tanna Nelson, MA, LPCA, NCC
• Teresita Yap Nelson, MD
• Thomas Richard Pierce Nelson, RBT
• Vaughn P Nelson, MD

• All providers in Charlotte, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.