Healthcare Provider Details

I. General information

NPI: 1730072158
Provider Name (Legal Business Name): CHARITY ANN MATHEWS LCSWA, SSWS, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SAM NEWELL RD STE 100
MATTHEWS NC
28105-7593
US

IV. Provider business mailing address

349 PAPYRUS PL
HILLSBOROUGH NC
27278-9878
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-3637
  • Fax:
Mailing address:
  • Phone: 919-599-8659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022482
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: