Individual provider Active NPI

Ashley Keona-Shaw Cureton, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1609250240
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010945 Issued in NC
Practice address
219 Le Phillip CT NE
Concord, NC 28025-2900
Phone
(704) 721-5551
Fax
(704) 721-5579
NPI assigned
Jul 14, 2015
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21606 NC
Mental Health Counselor 101YM0800X P009600 NC
Clinical Social Worker 1041C0700X C010945 NC Primary

Addresses

Primary practice location

219 Le Phillip CT NE
Concord, NC 28025-2900

Mailing address

132 Commercial Dr Ste 120
Forest City, NC 28043-2887
Phone (828) 248-1117

Other practice location 1

132 Commercial Dr Ste 120
Forest City, NC 28043-2887
Phone (828) 248-1117

Other names 1

  • Ashley Keona Shaw Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206001280 NC Practitioner - Clinical Social Worker 9032476650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009600NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Oct 8, 2024 Accepting new patients
3C Wellness, PLLC Current Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

219 Le Phillip Ct NE
Concord, NC 28025
Phone (704) 721-5551

310 N Main St
Lexington, NC 27292
Phone (336) 225-2528

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1609250240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 COMMERCIAL DR STE 120",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432887",
            "telephone_number": "828-248-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 LE PHILLIP CT NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-721-5551",
            "fax_number": "704-721-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Commercial Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280432887",
            "country_code": "US",
            "telephone_number": "828-248-1117",
            "fax_number": "828-248-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURETON",
        "first_name": "ASHLEY",
        "middle_name": "KEONA-SHAW",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21606",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P009600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SHAW",
            "middle_name": "KEONA",
            "credential": "MSW, LCSW, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.