Shawn Christopher Perkins, LCSW-A LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017282 Issued in NC

Practice address

414 W Lebanon St
Mount Airy, NC 27030-2954

Phone

(336) 789-9492

Fax

(336) 789-9587

NPI assigned

Jan 31, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Counseling & Consulting Services, Inc.

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1164089207
  NPD (past)
• Monarch

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1831465442
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1437865664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302954",
            "telephone_number": "336-789-9492",
            "fax_number": "336-789-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302954",
            "telephone_number": "336-789-9492",
            "fax_number": "336-789-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SHAWN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW-A LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017282",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partnership for a Drug Free NC Inc
• Mercie M Payne, CRNA
• Thomas E Payne, NP
• Saeed Payvar, MD
• Vicki Rogers Pennington, ARNP, AGNP-C
• Daniel Robert Perry, MPT, DIP, MDT
• Robb Peterson, DDS, MS
• Sheila Marie Peterson, ARNP
• Glenn Steven Pfitzner, MD
• Julee K Phifer, LCSW

• Clinical Social Worker in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.