Individual provider Active NPI

Makebia Shanta Rorie, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1063942076
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109967 Issued in TX
Practice address
5017 Elizabeth Rd
Charlotte, NC 28269-4534
Phone
(704) 268-9226
NPI assigned
Jun 13, 2017
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1977R0423 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 22926 NC
Mental Health Counselor 101YM0800X I.2304655 OH
Mental Health Counselor 101YM0800X 109967 TX
Clinical Social Worker 1041C0700X P011080 NC
Clinical Social Worker 1041C0700X 109967 TX Primary

Addresses

Primary practice location

5017 Elizabeth Rd
Charlotte, NC 28269-4534

Mailing address

5017 Elizabeth Rd
Charlotte, NC 28269-4534
Phone (704) 268-9226

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1977R0423TXMDAddiction (Substance Use Disorder) Counselor
I.2304655OHMDMental Health Counselor
109967TXMDOccupational Therapist
22926NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Choose Your Conscience, PLLC Addiction (Substance Use Disorder) Current Accepting new patients
Progressive Recovery Resources Homes LLC CurrentSince Jul 31, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1063942076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 ELIZABETH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694534",
            "telephone_number": "704-268-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 ELIZABETH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694534",
            "telephone_number": "704-268-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORIE",
        "first_name": "MAKEBIA",
        "middle_name": "SHANTA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1977R0423",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2304655",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "109967",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.