AVERY BLACKWELL (NPI# 1891205928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891205928 |
| Entity Type | Individual |
| Full Name | AVERY BLACKWELL |
| Credential | MSW, LCSWA |
| Practice Address |
8401 Medical Plaza Dr Ste 360 Charlotte NC 28262 |
| Mailing Address |
2610 Hope Way Ln Apt 202 Charlotte NC 28262-6970 |
| Practice Telephone | 7042084458 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PO11873 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P011873 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1891205928 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Pee Dee Ave, Albemarle, NC 280014932 | 7049861500 |
| Street Address |
8401 MEDICAL PLAZA DR STE 360 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386832996 | April Warwick Morris | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2007-10-09 |
| 1073167797 | Shelia Denise Campbell | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2019-07-31 |
| 1801451323 | Latasha Gay Gary | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2019-05-09 |
| 1780150011 | Martia Jeronda Fuller | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2018-10-14 |
| 1417452905 | Michael K Johnson | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2018-03-27 |
| 1932629664 | Andrea Laniece Cole | Social Worker | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2017-06-23 |
| 1659814499 | Melissa Tiffany Robinson | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2016-11-28 |
| 1821544370 | Corrine Harris | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2016-08-25 |
| 1689032088 | Verdaro Draughn | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2016-02-01 |
| 1205256922 | Latania Sherrell Williams Mcadoo | Counselor | 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262-8700 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1710586698 | Queen City Psychotherapy Pllc | Social Worker | 100 Matador Ln Apt 403, Charlotte, NC 28209-3364 | 2020-10-21 |
| 1609474915 | Karen Doris Myers | Social Worker | 2503 Roswell Ave Unit 301, Charlotte, NC 28209-1683 | 2020-10-09 |
| 1750997540 | Patricia Mckinney | Social Worker | 4922 Albemarle Rd Ste 3a, Charlotte, NC 28205-6618 | 2020-09-17 |
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1700499753 | Kelsey Dawn Miller | Social Worker | 3635 Manor House Dr, Charlotte, NC 28270-2291 | 2020-08-28 |
| 1104437847 | Delilah Mcdonald | Social Worker | 9812 Aviary Hill Way, Charlotte, NC 28214-7138 | 2020-08-15 |
| 1972114148 | Camari Claiborne-scott | Social Worker | 14026 Dingess Rd, Charlotte, NC 28273-3285 | 2020-08-12 |
| 1366050239 | Jacquelyne Aida Tingey | Social Worker | 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113 | 2020-07-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.