Individual provider Active NPI

Shana Kalley Brown, LCSW,LCAS

  • Clinical Social Worker
  • Black Mountain, NC
National Provider Identifier
1972978385
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009165 Issued in NC
Practice address
201 N Ridgeway Ave
Black Mountain, NC 28711-3506
Phone
(828) 669-9798
Fax
(828) 544-1080
NPI assigned
Dec 10, 2015
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-2598 NC
Clinical Social Worker 1041C0700X C009165 NC Primary

Addresses

Primary practice location

201 N Ridgeway Ave
Black Mountain, NC 28711-3506

Mailing address

201 N Ridgeway Ave
Black Mountain, NC 28711-3506
Phone (828) 669-9798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160307002635 NC Practitioner - Clinical Social Worker 9537465281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Black Mountain Counseling CenterGroup PAC ID 9436408648, 6 clinicians

Practice addresses (Care Compare)

201 N Ridgeway Ave
Black Mountain, NC 28711-3506
Phone (828) 669-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-2598NCMDAddiction (Substance Use Disorder) Counselor
C009165NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Counseling Center CurrentSince Feb 8, 2023 Accepting new patients

Locations

201 N Ridgeway Ave
Black Mountain, NC 28711
Phone (828) 669-9798

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1972978385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N RIDGEWAY AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113506",
            "telephone_number": "828-669-9798",
            "fax_number": "828-544-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIDGEWAY AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113506",
            "telephone_number": "828-669-9798",
            "fax_number": "828-544-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANA",
        "middle_name": "KALLEY",
        "credential": "LCSW,LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.