Active NPI
David Shein, LCSW, CADC
- Clinical Social Worker
- Huntersville, NC
National Provider Identifier
1083183255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C01348
- Practice address
- 9723 Northcross Center CT Ste J
Huntersville, NC 28078-7301 - Phone
- (312) 519-1180
- NPI assigned
- Nov 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.020414 | IL | |
| Clinical Social Worker | 1041C0700X | C01348 | NC | Primary |
Addresses
Primary practice location
9723 Northcross Center CT Ste J
Huntersville, NC 28078-7301
Mailing address
5110 Washam Green LN
Cornelius, NC 28031-0450
Phone (312) 519-1180
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.020414 | IL | MD | Clinical Social Worker |
| C01348 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1083183255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 WASHAM GREEN LN",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280310450",
"telephone_number": "312-519-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9723 NORTHCROSS CENTER CT STE J",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787301",
"telephone_number": "312-519-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW, CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-17",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020414",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C01348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.