Individual provider Active NPI

Courtney M Everett

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1730975707
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012671 Issued in DE
Practice address
2317 Quesenberry Dr
Gastonia, NC 28054-0859
Phone
(302) 494-2672
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Q1-0012671 DE Primary

Addresses

Primary practice location

2317 Quesenberry Dr
Gastonia, NC 28054-0859

Mailing address

2500 W 7TH St
Wilmington, DE 19805-2820
Phone (302) 494-2672

Other practice location 1

4000 Nexus Dr Ste Ne3-100
Wilmington, DE 19803-3000
Phone (302) 320-9771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250611000667 DE Practitioner - Clinical Social Worker 6901316637 Reassigns benefits to 2 organizations
I20251003000059 NC Practitioner - Clinical Social Worker 6901316637 Reassigns benefits to 1 organization
I20260526003166 PA Practitioner - Clinical Social Worker 6901316637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4000 Nexus Dr
Wilmington, DE 19803-3000
Phone (302) 320-9771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012671DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 16, 2025 Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 2

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": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1730975707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 7TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052820",
            "telephone_number": "302-494-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 QUESENBERRY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540859",
            "telephone_number": "302-494-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Nexus Dr Ste Ne3-100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033000",
            "country_code": "US",
            "telephone_number": "302-320-9771",
            "fax_number": "302-623-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.