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KACY WICKERSON
NPI 1831620855
Speech-Language Pathologist in Charlotte, NC

Active since March 22, 2017
11112 SCRIMSHAW LN, CHARLOTTE, NC 28215(704) 258-7031 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2022, Feb 3, 2022, May 14, 2019 and 1 more (4 updates tracked since 2017).

About Kacy Wickerson NPPES

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

KACY WICKERSON (NPI 1831620855) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (12381) and active in the NPI registry since March 2017. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1831620855
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKACY WICKERSON
Location Address11112 SCRIMSHAW LNCharlotte, NC 28215-8304
Mailing Address11112 Scrimshaw LnCharlotte, NC 28215-8304 · (704) 258-7031
Phone(704) 258-7031
Sole ProprietorYes
Enumeration DateMarch 22, 2017
Last NPPES UpdateFebruary 7, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1831620855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NC · 12381✔ Licensed in GA · SLP011439✔ Licensed in SC · 6006
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
11112 SCRIMSHAW LN, Charlotte, NC 28215
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Other Names 1

Former Name (1)Kacy Brown

Secondary Practice Location 1

Location 111112 Scrimshaw LnCharlotte, NC 28215-8304 · Phone (704) 258-7031

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 Kacy Wickerson's NPI number?

The NPI number for Kacy Wickerson is 1831620855. It was assigned to this individual provider in the NPPES registry on March 22, 2017. The provider is also known as Kacy Brown.

Where is Kacy Wickerson located?

Kacy Wickerson practices at 11112 Scrimshaw Ln, Charlotte, NC 28215. The listed phone number is (704) 258-7031.

What is Kacy Wickerson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kacy Wickerson was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.