Individual provider Active NPI

Christine Shelton-Kerr, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1215216205
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009439 Issued in NC
Practice address
1101 Carolina St
Greensboro, NC 27401-1318
Phone
(336) 333-6860
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 C009439 NC Primary

Addresses

Primary practice location

1101 Carolina St
Greensboro, NC 27401-1318

Mailing address

4925 Long Grove Dr
Kernersville, NC 27284-7168
Phone (240) 447-8375

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
I20160920002374 NC Practitioner - Clinical Social Worker 4486813615 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alcohol and Drug Services of Guilford, Inc. Current Accepting new patients
Alcohol and Drug Services of Guilford, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Alcohol and Drug Services of Guilford, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Psychotherapy Solutions, PLLC Clinical CurrentSince Jun 2, 2024 Accepting new patients

Locations

301 E Washington St
Ste 101
Greensboro, NC 27401
Phone (336) 333-6860

1101 Carolina St
Greensboro, NC 27401
Phone (336) 333-6860

119 Chestnut Dr
High Point, NC 27262
Phone (336) 532-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1215216205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 LONG GROVE DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847168",
            "telephone_number": "240-447-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAROLINA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011318",
            "telephone_number": "336-333-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-KERR",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.