Individual provider Active NPI

Laura Pillette Shepard, LCSW

  • Clinical Social Worker
  • Lumberton, NC
National Provider Identifier
1184973125
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008658 Issued in NC
Practice address
2003 Godwin Ave
Suite a
Lumberton, NC 28358-3149
Phone
(910) 739-8849
Fax
(910) 739-8698
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008658 NC Primary

Addresses

Primary practice location

2003 Godwin Ave
Suite a
Lumberton, NC 28358-3149

Mailing address

2003 Godwin Ave
Ste. a
Lumberton, NC 28358-3149
Phone (910) 739-8849

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

LicenseStateTypeSpecialty
C008658NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1184973125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE",
            "address_2": "STE. A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583149",
            "telephone_number": "910-739-8849",
            "fax_number": "910-739-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583149",
            "telephone_number": "910-739-8849",
            "fax_number": "910-739-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "LAURA",
        "middle_name": "PILLETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.