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IMPACT COMMUNITY SUPPORT SERVICES, INC.
NPI 1154475572
Social Worker - Clinical in Charlotte, NC

Active since January 23, 2007
10130 MALLARD CREEK RD, SUITE 300, CHARLOTTE, NC 28262(704) 506-6204 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Community Support Services, Inc. NPPES

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

IMPACT COMMUNITY SUPPORT SERVICES, INC. (NPI 1154475572) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Shawntal Isaiah, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1154475572
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIMPACT COMMUNITY SUPPORT SERVICES, INC.
Location Address10130 MALLARD CREEK RD, SUITE 300Charlotte, NC 28262-6000
Mailing Address2183 Mallard Pointe DrKannapolis, NC 28083-6204 · (704) 506-6204
Phone(704) 506-6204
Organization SubpartNo
Authorized OfficialShawntal IsaiahClinical Director · (704) 506-6204
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154475572 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 · C005180
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.
10130 MALLARD CREEK RD, Charlotte, NC 28262
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

GOOD SAMARITAN HOME CARE SERVICES
In Home Supportive Care
10130 MALLARD CREEK RD, SUITE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3585
NERISSA WITHERS THOMPSON
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 493-5856
DR. KARLA H LEVER PH.D., LPC
Counselor (Professional)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 369-3114
NANCY FISCO MILLER
Dietitian, Registered
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 549-9550
HEALTHY INSIGHT THERAPY, PLLC
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (980) 494-0383
BRIANA ANGELIQUE WILSON
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (980) 392-6694
CONFLICT COACHING & CONSULTING, PLLC
Counselor
10130 MALLARD CREEK RD, STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 804-0841
SHAR'DANE SMITH PHD
Counselor (Mental Health)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 493-5856

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 Impact Community Support Services, Inc.'s NPI number?

The NPI number for Impact Community Support Services, Inc. is 1154475572. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Impact Community Support Services, Inc. located?

Impact Community Support Services, Inc. is located at 10130 Mallard Creek Rd Suite 300, Charlotte, NC 28262. The listed phone number is (704) 506-6204.

What is Impact Community Support Services, Inc.'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 Impact Community Support Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.