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COURTNEY PETERSON LCSW
NPI 1104790575
Social Worker - Clinical in Charlotte, NC

Active since September 30, 2025
3111 SPRINGBANK LN STE I, CHARLOTTE, NC 28226(855) 675-4144 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Courtney Peterson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY PETERSON LCSW (NPI 1104790575) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P017479) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1104790575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOURTNEY PETERSONCredential: LCSW
Location Address3111 SPRINGBANK LN STE ICharlotte, NC 28226-3373
Mailing AddressPo Box 748465Atlanta, GA 30374-8465
Phone(855) 675-4144
Sole ProprietorNo
Enumeration DateSeptember 30, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1104790575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P017479
Definition
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.
3111 SPRINGBANK LN STE I, Charlotte, NC 28226
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KABA ALABI
Social Worker (Clinical)
3111 SPRINGBANK LN STE I
CHARLOTTE, NC 28226
Mecklenburg County (855) 284-7483
NAILA AMANI MCCONNELL
Counselor (Mental Health)
3111 SPRINGBANK LN STE I
CHARLOTTE, NC 28226
Mecklenburg County (855) 284-7483
LATAVIA TAYONA HUNTLEY
Social Worker (Clinical)
3111 SPRINGBANK LN STE I
CHARLOTTE, NC 28226
Mecklenburg County (855) 284-7483
CHARMAINE HOUSTON
Social Worker (Clinical)
3111 SPRINGBANK LN STE I
CHARLOTTE, NC 28226
Mecklenburg County (855) 284-7483
MS. CLARA CONOVER IRWIN L.C.S.W.
Counselor (Mental Health)
3111 SPRINGBANK LN STE I
CHARLOTTE, NC 28226
Mecklenburg County (704) 333-2761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Peterson's NPI number?

The NPI number for Courtney Peterson is 1104790575. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Courtney Peterson located?

Courtney Peterson practices at 3111 Springbank Ln Ste I, Charlotte, NC 28226. The listed phone number is (855) 675-4144.

What is Courtney Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Courtney Peterson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.