Shannon Hargrove-Scott, EDD,MSW,LCSW,LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008062 Issued in NC

Practice address

225 Horner St
Henderson, NC 27536-4128

Phone

(252) 767-2246

NPI assigned

Dec 3, 2010

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Edman Health Group PLLC

  • Clinical Social Worker
  • Henderson, NC
  • NPI 1255065918

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1497057962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W WAYCLIFF RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376933",
            "telephone_number": "252-767-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HORNER ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364128",
            "telephone_number": "252-767-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE-SCOTT",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "EDD,MSW,LCSW,LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2569",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonna Mason Hall, MS CCC SLP
• Cynthia Anne Hampton, MD
• Hanger Prosthetics & Orthotics East Inc
• Zelphia B Hanks
• Nyesha Hardy
• Joeannie Hargrove
• Lamar S Hargrove
• Sarah Hargrove, LCASA
• Scott Jeremiah Hargrove, OWNER
• James L Harmon, ANP

• Clinical Social Worker in Henderson, NC
• Providers in Henderson, 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 Oct 11, 2022; 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.