Impact Community Support Services, Inc.
NPI 1154475572 · Clinical Social Worker · Charlotte, NC
Impact Community Support Services, Inc. is a Clinical Social Worker organization in Charlotte, NC (NPI 1154475572).
Provider details
- NPI number
- 1154475572
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shawntal Isaiah, Clinical Director(704) 506-6204
- License
- C005180 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Impact Community Support Services, Inc.'s NPI number?
- Impact Community Support Services, Inc.'s National Provider Identifier (NPI) is 1154475572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Community Support Services, Inc.?
- Impact Community Support Services, Inc. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Impact Community Support Services, Inc. located?
- Impact Community Support Services, Inc.'s practice location on file with NPPES is 10130 Mallard Creek Rd, Charlotte, NC 28262-6000.
- What is Impact Community Support Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Impact Community Support Services, Inc. is (704) 506-6204.
- Who is the authorized official for Impact Community Support Services, Inc.?
- The authorized official listed on Impact Community Support Services, Inc.'s NPPES record is Shawntal Isaiah, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Community Support Services, Inc.'s NPI active?
- Yes — Impact Community Support Services, Inc.'s NPI (1154475572) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.