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

Individual provider Clinical Social Worker · NPI 1750792800

Jason Lee Radosevich, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
Specialties on file
2
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

100 Billingsley Rd
Charlotte, NC 28211-1002
Phone: (704) 376-7447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 414 W Lebanon St, Mount Airy, NC 27030-2954 — (336) 789-9492
  • 619 Sullivan Rd, Statesville, NC 28677-3437 — (704) 871-0934

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C011345 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P008656 (NC)

Record details

NPI number1750792800
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 12, 2014
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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