Individual provider Active NPI

Courtnee Powell Roberts, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1336734680
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014300 Issued in NC
Practice address
8025 N Point Blvd Ste 260
Winston Salem, NC 27106-3859
Phone
(855) 362-8470
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 P014300 NC Primary

Addresses

Primary practice location

8025 N Point Blvd Ste 260
Winston Salem, NC 27106-3859

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630

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
I20250729002440 NC Practitioner - Clinical Social Worker 9234646779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanctuary HouseGroup PAC ID 0941326920, 2 clinicians

Practice addresses (Care Compare)

411 W Fisher Ave
Greensboro, NC 27401-2039
Phone (336) 553-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014300NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sanctuary House CurrentSince May 1, 2025 Accepting new patients

Locations

518 N Elm St
Greensboro, NC 27401
Phone (336) 209-0726

411 W Fisher Ave
Greensboro, NC 27401
Phone (336) 275-7896

Organizations & group practices 1

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1336734680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 260",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063859",
            "telephone_number": "855-362-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "COURTNEE",
        "middle_name": "POWELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.