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

Cumi Talitha Jolly, LCSW

Individual provider Clinical Social Worker · NPI 1245630128

Cumi Talitha Jolly, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 1992, 34 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
34
Licensed in
NC
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Phone: (980) 302-8850
Fax: (704) 316-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1400 Willow Ln, North Wilkesboro, NC 28659-3551 — (336) 667-5151
  • 175 Kimel Park Dr, Winston Salem, NC 27103-6951 — (800) 718-3550

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C008689 (NC)

Record details

NPI number1245630128
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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