Individual provider Active NPI

Christine L Siegfried, LCSW

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1215175427
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO18322 Issued in NC
Practice address
862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154
Phone
(704) 659-4707
Fax
(980) 444-3841
NPI assigned
Jan 26, 2009
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 CO18322 NC Primary

Addresses

Primary practice location

862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154

Mailing address

862 Brawley School Rd Ste 202
Mooresville, NC 28117-8154
Phone (704) 659-4707

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

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
I20250709004386 NC Practitioner - Clinical Social Worker 0749695559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
May and Associates Therapy Center LLCGroup PAC ID 8921447582, 3 clinicians

Practice addresses (Care Compare)

3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

862 Brawley School Rd
Suite 202
Mooresville, NC 28117-8154
Phone 70465947071001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO18322NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
May & Associates Therapy Center, LLC CurrentSince Aug 1, 2025 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Nov 13, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 12, 2025 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Nov 13, 2025 Accepting new patients
Regional Counseling Center, Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

862 Brawley School Rd
Ste 202
Mooresville, NC 28117
Phone (704) 659-4707

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1215175427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 BRAWLEY SCHOOL RD STE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178154",
            "telephone_number": "704-659-4707",
            "fax_number": "980-444-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 BRAWLEY SCHOOL RD STE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178154",
            "telephone_number": "704-659-4707",
            "fax_number": "980-444-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO18322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.