Individual provider Active NPI

Sylvia M Hairston, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1619631975
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019593 Issued in NC
Practice address
2990 Bethesda PL Ste 603C
Winston Salem, NC 27103-3314
Phone
(336) 542-2884
Fax
(336) 542-2885
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C019593 NC Primary

Addresses

Primary practice location

2990 Bethesda PL Ste 603C
Winston Salem, NC 27103-3314

Mailing address

2990 Bethesda PL Ste 603C
Winston Salem, NC 27103-3314
Phone (336) 542-2884

Other identifiers 1

IdentifierTypeStateIssuer
1093114670MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shairston@thrivewellnesscounseling.com Direct

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
I20260325002479 NC Practitioner - Clinical Social Worker 0648754804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2311 W Cone Blvd
Suite 223
Greensboro, NC 27408-4067

5409 Winona St
Winston Salem, NC 27106-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P016992NCMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1619631975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL STE 603C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033314",
            "telephone_number": "336-542-2884",
            "fax_number": "336-542-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL STE 603C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033314",
            "telephone_number": "336-542-2884",
            "fax_number": "336-542-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "SYLVIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093114670",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shairston@thrivewellnesscounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2990 Bethesda Pl Ste 603C",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.