Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crown Legacy Supportive Servicesllc

Organization Clinical Social Worker · NPI 1326435314

Crown Legacy Supportive Servicesllc is a Clinical Social Worker in Charlotte, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
7

Practice location Address checks out

715 E 5th St Ste 216
Charlotte, NC 28202-3001
Phone: (704) 333-5686
Fax: (704) 376-1931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Private Vehicle Taxonomy 347C00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1326435314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Reid — Chief Executive Officer · (704) 333-5686
Other names Bradley-Reid Corporation
NPI enumeratedApril 17, 2015
Last updated in NPPESApril 17, 2015
Mailing address715 E 5th St, Suite 216, Charlotte, NC 28202-3001

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