Shannon Walters Kincaid, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011951 Issued in NC

Practice address

300 E Wendover Ave Ste 400
Greensboro, NC 27401-1221

Phone

(336) 832-3150

NPI assigned

Nov 29, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1922512953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 CROSS RIDGE LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109732",
            "telephone_number": "336-688-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011221",
            "telephone_number": "336-832-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "SHANNON",
        "middle_name": "WALTERS",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kin, DC
• James Donald Kinard, MD
• Elizabeth C Kincaid, M.ED., NCC, LCMHC
• Michael Kincaid, LMBT
• Rebecca Jeanne Kincaid, M.S., LPA
• Wendi Paige Kinder, RD
• Kindred Hospitals East, LLC
• Kindred Hospitals East, LLC
• Kinera LLC
• Shayla King Drumwright

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 29, 2017; 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.