Active NPI
Christian Cagle, BS PSYCHOLOGY, MSW
- Clinical Social Worker
- Kernersville, NC
National Provider Identifier
1497410054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017503
- Practice address
- 1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159 - Phone
- (336) 515-5000
- NPI assigned
- Nov 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C017503 | NC | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159
Mailing address
1001 Hollow Creek LN
Kernersville, NC 27284-7614
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2261
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C017503 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salisbury Vamc | Current | Accepting new patients |
Locations
1695 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 515-5000
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Department of Veterans Affairs (VA) Pharmacy
- Kernersville, NC
- NPI 1982652723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1497410054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 HOLLOW CREEK LN",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 KERNERSVILLE MEDICAL PKWY",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847159",
"telephone_number": "336-515-5000"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-2261",
"fax_number": "336-716-9810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAGLE",
"first_name": "CHRISTIAN",
"credential": "BS PSYCHOLOGY, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-08",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017503",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.