Individual provider Active NPI

Heather Shannon Stoume Stoume, MSW, LCSW, LCAS,

  • Clinical Social Worker
  • Shallotte, NC
National Provider Identifier
1093947913
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006616 Issued in NC
Practice address
512 Village Rd Ste 104
Shallotte, NC 28470-3409
Phone
(910) 721-4200
NPI assigned
Aug 11, 2009
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1471 NC
Clinical Social Worker 1041C0700X C006616 NC Primary

Addresses

Primary practice location

512 Village Rd Ste 104
Shallotte, NC 28470-3409

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 343-0145

Other names 1

  • Ms. Heather Stoume Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HSTOUMEELLIS443879@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100724000221 NC Practitioner - Clinical Social Worker 1052443181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

512 Village Rd
Suite 104
Shallotte, NC 28470-3420
Phone (910) 721-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1471NCMDAddiction (Substance Use Disorder) Counselor
C006616NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group LLC CurrentSince Jun 5, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 5, 2017 Accepting new patients

Locations

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

204 Smith Ave
Shallotte, NC 28470
Phone (910) 721-4220

512 Village Rd
Ste 104
Shallotte, NC 28470
Phone (910) 721-4200

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: hstoumeellis443879@direct.novanthealth.org

Organizations & group practices 3

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1093947913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-343-0145",
            "fax_number": "910-251-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VILLAGE RD STE 104",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703409",
            "telephone_number": "910-721-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUME",
        "first_name": "HEATHER",
        "middle_name": "SHANNON STOUME",
        "credential": "MSW, LCSW, LCAS,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HSTOUMEELLIS443879@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "120 Coastal Horizons Dr",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284706094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "STOUME",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.