MEDICARE: LILY HACKMAN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	104100000X	Social Worker	P022403	NC

General Provider Information

NPI Number	:	1598424459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY HACKMAN MSW

Provider Business Mailing Address
First Line	:	416 CASTLESTONE LN
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-7239
Country	:	US
Telephone Number	:	810-626-8329
Fax Number	:

Provider Business Practice Location Address
First Line	:	2813 COLTSGATE RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-3585
Country	:	US
Telephone Number	:	704-362-3123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	07/24/2025

Similar Medicare Providers

1730802273 — KELLY RENEE ROBERSON MA, LCMHCA
Practice Location Address:

2813 COLTSGATE RD STE 200
CHARLOTTE, NC
28211-3585

Practice Phone: 704-362-3123
Practice Fax: 704-943-7272

1306634332 — KENSLEIGH HOGAN PSYD
Practice Location Address:

2813 COLTSGATE RD STE 200
CHARLOTTE, NC
28211-3585

Practice Phone: 704-362-3121
Practice Fax:

1912565755 — DR. PATRICK LEE HOUSER B.S, D.C
Practice Location Address:

624 TYVOLA RD STE 100
CHARLOTTE, NC
28217-3585

Practice Phone: 704-770-8436
Practice Fax:

1528792157 — DR. TROY HOUSTON RUTLEDGE DC
Practice Location Address:

624 TYVOLA RD STE 100
CHARLOTTE, NC
28217-3585

Practice Phone: 704-770-8436
Practice Fax: 704-900-8222

1215239447 — MRS. COURTENAY CLAIRE MONFORE LPC
Practice Location Address:

2813 COLTSGATE ROAD, SUITE 201
CHARLOTTE, NC
28211

Practice Phone: 704-741-2082
Practice Fax:

1104759281 — THACH FAMILY LLC
Practice Location Address:

1413 ANDOVER RD
CHARLOTTE, NC
28211-1809

Practice Phone: 704-618-0431
Practice Fax:

Directions to “ LILY HACKMAN MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.