Courtney Nicole Flack, LCSWA
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1033701289
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1033701289
- Entity type
- Individual (NPI-1)
- Name
- Courtney Nicole Flack
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P015459 | NC | Yes |
Practice location
5700 Executive Center Dr Ste 200Charlotte, NC 28212-8833
Phone 800-320-4157 · Fax 704-494-7796
Mailing address
Po Box 1Barium Springs, NC 28010-0001
Phone 704-832-2200 · Fax 704-838-1541
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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