Individual provider Active NPI

Shantel Sharne Robinson, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1477011005
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017713 Issued in NC
Practice address
701 Green Valley Rd Ste 100
#384
Greensboro, NC 27408
Phone
(336) 223-3794
Fax
(336) 864-6192
NPI assigned
Mar 2, 2019
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06238900 NJ
Clinical Social Worker 1041C0700X C017713 NC Primary

Addresses

Primary practice location

701 Green Valley Rd Ste 100
#384
Greensboro, NC 27408

Mailing address

701 Green Valley Rd Ste 100
#384
Greensboro, NC 27408
Phone (336) 223-3794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20250429004098 NC Practitioner - Clinical Social Worker 7416473715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06238900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shanti's Promise Clinical Wellness Clinical Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 14, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 14, 2025 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

701 Green Valley Rd
Ste 100
Greensboro, NC 27408
Phone (336) 291-8237

1633 New Garden Rd
Greensboro, NC 27410
Phone (336) 223-4626

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

Organizations & group practices 4

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": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1477011005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GREEN VALLEY RD STE 100",
            "address_2": "#384",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-223-3794",
            "fax_number": "336-864-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GREEN VALLEY RD STE 100",
            "address_2": "#384",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-223-3794",
            "fax_number": "336-864-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHANTEL",
        "middle_name": "SHARNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06238900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.