Active NPI
Courteney Sanderford Schenck, MSW, LCSW, LCAS
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011202
- 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, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-24609 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C011202 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Rha Behavioral Health NC LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Rha Behavioral Health NC LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | 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 | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | 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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1700318680
-
dba Novant Health Psychiatry
- Psychiatry Physician
- Winston Salem, NC
- NPI 1508350349
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
dba Novant Health Psychiatry
- Psychiatry Physician
- Wilmington, NC
- NPI 1801556782
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Oncology Specialists
- Gynecologic Oncology Physician
- Salisbury, NC
- NPI 1033561824
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1164151080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.