Mary Shalene Pierce, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005099 Issued in NC

Practice address

500 Winding Gap Rd
Lake Toxaway, NC 28747-8786

Phone

(828) 885-5920

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trails Carolina LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lake Toxaway, NC
  • NPI 1831501675
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1669138178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WINDING GAP RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287478786",
            "telephone_number": "828-885-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDING GAP RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287478786",
            "telephone_number": "828-885-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARY",
        "middle_name": "SHALENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@trailscarolina.com",
            "affiliation": "N",
            "address_1": "500 Winding Gap Rd",
            "city": "Lake Toxaway",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287478786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Scott Jackson
• Carla Rebecca Kimmel, FNP-C
• Leah Subalusky Madamba, MS, NCC, LCMHC
• Justin Messinger, LCMHC
• William Noran, MD
• Julia 8288855920 Ruff
• Trails Carolina LLC
• Transylvania Community Hospital
• Transylvania Community Hospital, Inc.

• Clinical Social Worker in Lake Toxaway, NC
• Providers in Lake Toxaway, 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 Nov 10, 2021; 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.