Active NPI
Stephanie Ann Slaughter, MSW, LCSW, LCAS-A
- Addiction (Substance Use Disorder) Counselor
- Henderson, NC
National Provider Identifier
1972754661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-A 2833
- Practice address
- 943 W Andrews Ave Ste H
Henderson, NC 27536-2562 - Phone
- (252) 433-0061
- Fax
- (252) 738-2460
- NPI assigned
- Oct 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-A 2833 | NC | Primary |
| Clinical Social Worker | 1041C0700X | C006191 | NC |
Addresses
Primary practice location
943 W Andrews Ave Ste H
Henderson, NC 27536-2562
Mailing address
284 Executive Park Drive
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007216 | Medicaid | NC | |
| LCAS-A 2833 | Other | NC | NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD |
| C006191 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
| 155WY | Other | NC | BCBS OF NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-A 2833 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C006191 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Works Psychological Center, PLLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1063488773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1972754661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DRIVE",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251894",
"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": "943 W ANDREWS AVE STE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362562",
"telephone_number": "252-433-0061",
"fax_number": "252-738-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-A 2833",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006191",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007216",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD",
"identifier": "LCAS-A 2833",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
"identifier": "C006191",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "155WY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.