Active NPI
Novia Chantel Stevenson, LCSWA, LCASR
- Clinical Social Worker
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010880
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009657 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Clinical | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Daymark Recovery Services, Inc. | Clinical | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | 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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Clinical
-
- Internal Medicine Physician
- Durham, NC
- NPI 1962721308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.