Individual provider Active NPI

Gregory Letourneau IX, LCSW

  • Clinical Social Worker
  • Winston-Salem, NC
National Provider Identifier
1063487973
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003633 Issued in NC
Practice address
915 W 4TH St
Winston-Salem, NC 27101-2517
Phone
(336) 750-0130
Fax
(336) 750-0073
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003633 NC Primary

Addresses

Primary practice location

915 W 4TH St
Winston-Salem, NC 27101-2517

Mailing address

915 W 4TH St
Winston-Salem, NC 27101-2517
Phone (336) 750-0130

Other identifiers 2

IdentifierTypeStateIssuer
13809OtherNCBLUECROSSBLUESHEILD
6003585MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C003633NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stillpoint Center for Integrative Therapies, Inc Past Accepting new patients
Rebecca S. Valla, MD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063487973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W 4TH ST",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271012517",
            "telephone_number": "336-750-0130",
            "fax_number": "336-750-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W 4TH ST",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271012517",
            "telephone_number": "336-750-0130",
            "fax_number": "336-750-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETOURNEAU",
        "first_name": "GREGORY",
        "name_suffix": "IX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEILD",
            "identifier": "13809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.