Renee Lynn Sheppard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012334 Issued in NC

Practice address

227 N Main St
Troy, NC 27371-3058

Phone

(910) 572-3681

Fax

(910) 572-5579

NPI assigned

Jun 14, 2017

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: renee.sheppard.p1@direct.daymarkrecovery.nextgenshare.com

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.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243
  Medicare reassignment
• Sandhills Pediatrics

  • Pediatrics Physician
  • Southern Pines, NC
  • NPI 1114998150
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1609306562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713058",
            "telephone_number": "910-572-3681",
            "fax_number": "910-572-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713058",
            "telephone_number": "910-572-3681",
            "fax_number": "910-572-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 W Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283875808",
            "country_code": "US",
            "telephone_number": "910-692-2444 x282",
            "fax_number": "910-692-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Grant St",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "273768379",
            "country_code": "US",
            "telephone_number": "910-692-2444 x282",
            "fax_number": "910-400-5529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283762647",
            "country_code": "US",
            "telephone_number": "910-692-2444 x282",
            "fax_number": "910-875-0217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "284 Executive Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251833",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Cooperation Association
• School Psychologist Services, PLLC
• Kennith M Shamberger
• Carol Marie Shepard, LCSWA
• Geoffrey Brown Shiver, PHARM.D.
• Lillian Sizemore
• Joel Reuben Skousen, DDS
• Paula Jules Sorrell, DDS
• Stanlex, Inc. (Home Care of the Carolinas)

• Clinical Social Worker in Troy, NC
• Providers in Troy, 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 May 11, 2023; 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.