HOME FOR FAMILY INTIMACY, PLLC
NPI 1386196897
Social Worker - Clinical in Charlotte, NC

Q: What is Home For Family Intimacy, PLLC's NPI number?

The NPI number for Home For Family Intimacy, PLLC is 1386196897. It was assigned to this organization in the NPPES registry on October 31, 2016.

Q: What is Home For Family Intimacy, PLLC's specialty?

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

Active since October 31, 2016

10130 MALLARD CREEK RD, CHARLOTTE, NC 28262(980) 224-0653(980) 729-5025 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Home For Family Intimacy, Pllc NPPES

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

HOME FOR FAMILY INTIMACY, PLLC (NPI 1386196897) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since October 2016. The organization lists Terri A Williams, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1386196897

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameHOME FOR FAMILY INTIMACY, PLLC

Location Address10130 MALLARD CREEK RDCharlotte, NC 28262-6000

Mailing Address10130 Mallard Creek RdCharlotte, NC 28262-6000 · (980) 224-0653 · Fax (980) 729-5025

Phone(980) 224-0653

Fax(980) 729-5025

Organization SubpartNo

Authorized OfficialTerri A WilliamsTherapist/owner · (980) 224-0653

Enumeration DateOctober 31, 2016

✔ NPI 1386196897 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 · C010228

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home For Family Intimacy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Home For Family Intimacy, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terri Williams-Whiteside, MSW

Clinical Social Worker

NPI 1972853174

10130 MALLARD CREEK RD STE 300
Charlotte, NC 28262

(704) 287-4384

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Home For Family Intimacy, PLLC's NPI number?

The NPI number for Home For Family Intimacy, PLLC is 1386196897. It was assigned to this organization in the NPPES registry on October 31, 2016.

Where is Home For Family Intimacy, PLLC located?

Home For Family Intimacy, PLLC is located at 10130 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (980) 224-0653.

What is Home For Family Intimacy, PLLC's specialty?

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

Is Home For Family Intimacy, PLLC enrolled in Medicare?

Yes. Home For Family Intimacy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home For Family Intimacy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Home For Family Intimacy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Home For Family Intimacy, PLLC was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.