Individual provider Active NPI

Courtney Newton, LCSW

  • Clinical Social Worker
  • Shelby, NC
National Provider Identifier
1972057768
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010524 Issued in NC
Practice address
621A S Lafayette St
Shelby, NC 28150-5807
Phone
(980) 236-9391
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010524 NC Primary

Addresses

Primary practice location

621A S Lafayette St
Shelby, NC 28150-5807

Mailing address

621A S Lafayette St
Shelby, NC 28150-5807
Phone (980) 236-9391

Other practice location 1

8029 Corporate Center Dr
Suite 100
Charlotte, NC 28226-4547
Phone (980) 237-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P010524NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Therapy PLLC Clinical Current Accepting new patients
Living Lotus Counseling, PLLC Clinical Past Accepting new patients

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1972057768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621A S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505807",
            "telephone_number": "980-236-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621A S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505807",
            "telephone_number": "980-236-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8029 Corporate Center Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264547",
            "country_code": "US",
            "telephone_number": "980-237-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.