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

Mrs. Suzanne Mactaggart Medlin, LCSW

Individual provider Clinical Social Worker · NPI 1215228390

Mrs. Suzanne Mactaggart Medlin, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
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

3541 Randolph Rd Ste 206
Charlotte, NC 28211-1082
Phone: (704) 381-8336
Fax: (704) 381-8332
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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 C006559 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence C006559 (NC)

Record details

NPI number1215228390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 25, 2011
Last updated in NPPESJune 12, 2012

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