Individual provider Active NPI

Novia Chantel Stevenson, LCSWA, LCASR

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1174905160
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010880 Issued in NC
Practice address
140 Kimel Park Dr Ste 200
Winston Salem, NC 27103
Phone
(336) 718-7250
Fax
(336) 718-7260
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P009657 NC
Clinical Social Worker 1041C0700X C010880 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NC

Addresses

Primary practice location

140 Kimel Park Dr Ste 200
Winston Salem, NC 27103

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-7250

Other practice location 1

5209 W Wendover Ave
High Point, NC 27265-9177
Phone (336) 899-1568

Other practice location 2

5209 W Wendover Ave
High Point, NC 27265-9177
Phone (336) 899-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009657NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Clinical CurrentSince Sep 1, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Daymark Recovery Services, Inc. Clinical CurrentSince Jul 22, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. Clinical Current Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

5209 W Wendover Ave
High Point, NC 27265
Phone (336) 845-3988

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Organizations & group practices 6

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1174905160",
    "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": "336-718-7250",
            "fax_number": "336-718-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-718-7250",
            "fax_number": "336-718-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5209 W Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272659177",
            "country_code": "US",
            "telephone_number": "336-899-1568",
            "fax_number": "336-899-1589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5209 W Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272659177",
            "country_code": "US",
            "telephone_number": "336-899-1568",
            "fax_number": "336-899-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "NOVIA",
        "middle_name": "CHANTEL",
        "name_prefix": "Miss",
        "credential": "LCSWA, LCASR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009657",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010880",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.