Provider Demographics
NPI:1770551343
Name:MESSER, CARLENE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CARLENE
Middle Name:
Last Name:MESSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CARLENE
Other - Middle Name:M
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2630 FILSON COURT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214
Mailing Address - Country:US
Mailing Address - Phone:828-964-3576
Mailing Address - Fax:
Practice Address - Street 1:2630 FILSON COURT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214
Practice Address - Country:US
Practice Address - Phone:828-964-3576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2252650OtherCIGNA BEHAVIORAL HEALTH
NC6003627Medicaid
NC183620OtherMEDCOST
NC2871909Medicare ID - Type UnspecifiedPROVIDER ID #