Healthcare Provider Details

I. General information

NPI: 1871278218
Provider Name (Legal Business Name): SHERABIAH J OGLESBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8535 CLIFF CAMERON DR
CHARLOTTE NC
28269-5908
US

IV. Provider business mailing address

3432 BARFIELD DR
CHARLOTTE NC
28217-1110
US

V. Phone/Fax

Practice location:
  • Phone: 704-717-7477
  • Fax: 704-717-7457
Mailing address:
  • Phone: 757-708-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP018922
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: