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

Denese Etheridge

Individual provider Clinical Social Worker · NPI 1992144570

Denese Etheridge is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices as a sole proprietor.

Years since qualifying
14
In the registry since
2013
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Practice location Address checks out

4615 Potters Glen Rd
Charlotte, NC 28269-7351
Phone: (252) 339-5655
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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 P007541

Record details

NPI number1992144570
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2013
Last updated in NPPESJune 17, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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