Rosa Stephanie Shadrin-Toledo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010501 Issued in NC

Practice address

2020 Chapel Hill Rd Ste 23
Durham, NC 27707-1186

Phone

(919) 688-7101

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rosa Stephanie Toledo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Paths PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1194382085
  NPD Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1669821286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RED SUNSET LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033394",
            "telephone_number": "919-455-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CHAPEL HILL RD STE 23",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071186",
            "telephone_number": "919-688-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADRIN-TOLEDO",
        "first_name": "ROSA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "TOLEDO",
            "middle_name": "STEPHANIE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thorsten Markus Seyler, M.D., PH.D
• Keri Anne Seymour, DO
• Randy Lee Seys, PHARM.D.
• Helen L Sgouros, PH.D.
• Phillip Price Shadduck, MD
• Ilya Yevgenievich Shadrin, MD, PHD
• Shae Medical, PLLC
• Gail S Shaeffer, ANP C
• Janet K Shaffer, L. AC
• Christopher I. Shaffrey, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.