Nicole W Sherrill, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011296 Issued in NC

Practice address

102 Brandywine Dr NE Apt J3
Conover, NC 28613-1822

Phone

(828) 234-6196

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1487269486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRANDYWINE DR NE APT J3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131822",
            "telephone_number": "182-823-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRANDYWINE DR NE APT J3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131822",
            "telephone_number": "828-234-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "NICOLE",
        "middle_name": "W",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniorcare of Conover LLC
• Charlotte Frye Sharpe, M.A., MFT ASSOCIATE
• Amanda Elizabeth Shaver, LCMHC
• Elizabeth Edwards Sheeks, RD, MS, LDN
• Sheffield and Blank, DMD, PLLC
• William Walter Sherrod, DDS
• Ronald James Shokes, R.PH.
• Alicia B Sigmon, P.A.-C
• Sipes Orchard Home
• Kaysie Nichole Smith

• Clinical Social Worker in Conover, NC
• Providers in Conover, 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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.