Individual provider Active NPI

Courteney Sanderford Schenck, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1205106143
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011202 Issued in NC
Practice address
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Phone
(980) 302-8850
Fax
(704) 316-8118
NPI assigned
Jan 10, 2012
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 LCAS-24609 NC
Clinical Social Worker 1041C0700X C011202 NC Primary

Addresses

Primary practice location

3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-8850

Other practice location 1

962 S Fayetteville St
Asheboro, NC 27203-6591
Phone (919) 357-8537

Other practice location 2

8 Gatley Ct
Greensboro, NC 27405-9314
Phone (919) 357-8538

Other practice location 3

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 229-5905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cschenck673298@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
I20181114003504 NC Practitioner - Clinical Social Worker 4082968722 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-24609NCMDAddiction (Substance Use Disorder) Counselor
C011202NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc CurrentSince Dec 31, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Oct 1, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 16, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 31, 2020 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Dec 31, 2020 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Oct 1, 2018 Accepting new patients
NMG Health Services LLC CurrentSince Feb 15, 2022 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Feb 15, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Dec 31, 2020 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

2732 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 227-5050

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

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

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

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

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

109 W Becker Dr
Roanoke Rapids, NC 27870
Phone (252) 365-4337

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

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1205106143",
    "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": "980-302-8850",
            "fax_number": "704-316-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WHITEHALL PARK DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734179",
            "telephone_number": "980-302-8850",
            "fax_number": "704-316-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "962 S Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272036591",
            "country_code": "US",
            "telephone_number": "919-357-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Gatley Ct",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274059314",
            "country_code": "US",
            "telephone_number": "919-357-8538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2732 Ann Elizabeth Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155111",
            "country_code": "US",
            "telephone_number": "336-229-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "COURTENEY",
        "middle_name": "SANDERFORD",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschenck673298@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "962 S Fayetteville St",
            "city": "Asheboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272036591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.