Charlotte Boone, LCSWA

Individual provider Active NPI Clinical Social Worker · Rockingham, NC

NPI 1992500029 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1992500029
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P021755 (NC)
Practice address
503 Rockingham Rd
Rockingham, NC 28379-3615
Phone
(910) 417-4922
Fax
(910) 417-4923
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P021755NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Alternative Academy, LLC Past
since Feb 23, 2025
Accepting new patients
Sandhills Alternative Academy, LLC Past
since Feb 23, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P021755 NC Yes

Addresses

Primary practice location

503 Rockingham Rd
Rockingham, NC 28379-3615

Mailing address

22743 Gillis Rd
Laurel Hill, NC 28351-9225
Phone (910) 280-6330

Other providers in Rockingham, NC

All providers in Rockingham, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.