TERRI WILLIAMS-WHITESIDE MSW
NPI 1972853174
Social Worker - Clinical in Charlotte, NC

Q: What is Terri Williams-whiteside's NPI number?

The NPI number for Terri Williams-whiteside is 1972853174. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Q: What is Terri Williams-whiteside's specialty?

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

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment

10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(704) 287-4384 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Terri Williams-whiteside Msw NPPES

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

TERRI WILLIAMS-WHITESIDE MSW (NPI 1972853174) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972853174

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTERRI WILLIAMS-WHITESIDECredential: MSW

Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001

Mailing Address10130 Mallard Creek Rd Ste 300Charlotte, NC 28262-6001 · (980) 729-5240 · Fax (980) 729-5025

Phone(704) 287-4384

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 14, 2012

Last NPPES UpdateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1972853174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terri Williams-whiteside Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547540163

PECOS Enrollment IDI20161216000791

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Terri Williams-whiteside reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Home For Family Intimacy, PLLC

Same address

Clinical

10130 MALLARD CREEK RD
Charlotte, NC 28262

Reassigned Medicare billing, North Carolina enrollment

NPI 1386196897 (980) 224-0653

Cityblock Medical Practice, P.A.

428 mi

Internal Medicine

2620 KESSLER BOULEVARD EAST DR STE 110
Indianapolis, IN 46220

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Cityblock Medical Practice PA
63 clinicians in this Medicare group

NPI 1588296784 (800) 336-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TERRI LYNN TILFORD EDD

Counselor (Professional)