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ADVANCED COMMUNITY SERVICES LLC
NPI 1558860239
Social Worker - Clinical in Charlotte, NC

Active since February 07, 2018
4700 FARM POND LN, CHARLOTTE, NC 28212(704) 241-1643 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Advanced Community Services Llc NPPES

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

ADVANCED COMMUNITY SERVICES LLC (NPI 1558860239) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since February 2018. The organization lists Kimberly Penny, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1558860239
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameADVANCED COMMUNITY SERVICES LLC
Location Address4700 FARM POND LNCharlotte, NC 28212-8500
Mailing Address3984 Landmark DrDouglasville, GA 30135-1254 · (704) 241-1643
Phone(704) 241-1643
Organization SubpartNo
Authorized OfficialKimberly PennyExecutive Director · (704) 241-1643
Enumeration DateFebruary 7, 2018
Last NPPES UpdateApril 20, 20182 updates tracked since enumeration
✔ NPI 1558860239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4700 FARM POND LN, Charlotte, NC 28212
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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

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 Advanced Community Services LLC's NPI number?

The NPI number for Advanced Community Services LLC is 1558860239. It was assigned to this organization in the NPPES registry on February 7, 2018.

Where is Advanced Community Services LLC located?

Advanced Community Services LLC is located at 4700 Farm Pond Ln, Charlotte, NC 28212. The listed phone number is (704) 241-1643.

What is Advanced Community Services LLC'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 Advanced Community Services LLC was last updated on April 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.