Active NPI
Carol Marie Shepard, LCSWA
- Clinical Social Worker
- Troy, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P023016
- Practice address
- 227 N Main St
Troy, NC 27371-3058 - Phone
- (910) 572-3681
- Fax
- (910) 572-5579
- NPI assigned
- Nov 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P023016 | NC | Primary |
Addresses
Primary practice location
227 N Main St
Troy, NC 27371-3058
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
109 Muirs Chapel Rd Ste 124
Greensboro, NC 27410-6100
Phone (336) 331-0978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
109 Muirs Chapel Rd
Suite 124
Greensboro, NC 27410-6100
3205 Allerton Cir Apt a
Greensboro, NC 27409-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P023016 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Hope | Current | Accepting new patients |
Locations
109 Muirs Chapel Rd
Ste 124
Greensboro, NC 27410
Phone (336) 331-0978
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Greensboro, NC
- NPI 1093422081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1821633736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"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": "109 Muirs Chapel Rd Ste 124",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274106100",
"country_code": "US",
"telephone_number": "336-331-0978",
"fax_number": "336-331-0979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPARD",
"first_name": "CAROL",
"middle_name": "MARIE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P023016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NC
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Cooperation Association
- School Psychologist Services, PLLC
- Kennith M Shamberger
- Renee Lynn Sheppard, LCSW
- Geoffrey Brown Shiver, PHARM.D.
- Lillian Sizemore
- Joel Reuben Skousen, DDS
- Paula Jules Sorrell, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.