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DENESE ETHERIDGE
NPI 1992144570
Social Worker - Clinical in Charlotte, NC

Active since June 17, 2013PECOS Enrolled
4615 POTTERS GLEN RD, CHARLOTTE, NC 28269(252) 339-5655 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Denese Etheridge NPPES

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

DENESE ETHERIDGE (NPI 1992144570) is an individual clinical provider in Charlotte, North Carolina, licensed in (P007541) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992144570
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDENESE ETHERIDGE
Location Address4615 POTTERS GLEN RDCharlotte, NC 28269-7351
Mailing Address4615 Potters Glen RdCharlotte, NC 28269-7351
Phone(252) 339-5655
Sole ProprietorYes
Enumeration DateJune 17, 2013
✔ NPI 1992144570 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 · P007541
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.
4615 POTTERS GLEN RD, Charlotte, NC 28269
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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 (PECOS)

Denese Etheridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Denese Etheridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind PC
2,273 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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 28269 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.

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 Denese Etheridge's NPI number?

The NPI number for Denese Etheridge is 1992144570. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Denese Etheridge located?

Denese Etheridge practices at 4615 Potters Glen Rd, Charlotte, NC 28269. The listed phone number is (252) 339-5655.

What is Denese Etheridge's specialty?

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

Is Denese Etheridge enrolled in Medicare?

Yes. Denese Etheridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denese Etheridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denese Etheridge reassigns Medicare benefits to Sondermind PC (San Jose, CA). The 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 Denese Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denese Etheridge accept?

Health plans from UnitedHealthcare list Denese Etheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denese Etheridge was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.