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

Impact Community Support Services, Inc

Organization Clinical Social Worker · NPI 1154475572

Impact Community Support Services, Inc is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6000
Phone: (704) 506-6204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C005180 (NC)

Record details

NPI number1154475572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawntal Isaiah — Clinical Director · (704) 506-6204
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2183 Mallard Pointe Dr, Kannapolis, NC 28083-6204

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