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TRAUMA ASSESSMENT & TREATMENT CENTER PLLC NPI 1255692919


NPI Information

NPI: 1255692919
Provider Name: TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC

Doing Business As: LESLIE L. WILLIAMS

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1914 J N PEASE PL STE 150
CHARLOTTE, NC
ZIP 28262
Phone: (704) 921-9943
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TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC is a clinical social worker in Charlotte, NC. The provider is 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. TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC NPI is 1255692919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leslie L. Williams.

The provider's business location address is:

1914 J N PEASE PL STE 150
CHARLOTTE, NC
ZIP 28262-504
Phone: (704) 921-9943
Fax: (704) 665-1959

The provider's authorized official is Leslie Williams .
The authorized official title is Lcsw, Cctp/ Clinical Director and has the following contact phone number (704) 921-9943.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 4/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalC006756NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15092840OTHERNORTH CAROLINAAETNA
2928979OTHERNORTH CAROLINAAVAILITY
313604553OTHERNORTH CAROLINACIGNA
46007532MEDICAIDNORTH CAROLINA
5000816420001OTHERNORTH CAROLINAUHC-OPTUM
602GFQOTHERNORTH CAROLINABLUE CROSS AND BLUE SHIELD OF NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.