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

Geoffrey Benjamin Van Waveren, LCSW

Individual provider Social Worker · NPI 1750358651

Geoffrey Benjamin Van Waveren, LCSW is a Clinical Social Worker in Concord, North Carolina. Qualified in 1992, 34 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
34
Licensed in
NC
In the registry since
2006
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

380 Copperfield Blvd NE
Concord, NC 28025-2402
Phone: (704) 403-1800
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C002386 (NC)

Record details

NPI number1750358651
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESJuly 15, 2024
Certification dateJanuary 16, 2020

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 The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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