Individual provider Active NPI

Christopher Scoville, LCSW, LCAS

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1982295424
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014860 Issued in NC
Practice address
104 New Stateside Dr
Chapel Hill, NC 27516-1213
Phone
(919) 942-2803
NPI assigned
Jan 28, 2021
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014860 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25618 NC

Addresses

Primary practice location

104 New Stateside Dr
Chapel Hill, NC 27516-1213

Mailing address

104 New Stateside Dr
Chapel Hill, NC 27516-1213

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
I20260125000111 NC Practitioner - Clinical Social Worker 8224515853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 New Stateside Dr
Chapel Hill, NC 27516-1213
Phone (833) 800-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-25618NCMDAddiction (Substance Use Disorder) Counselor
C014860NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom House Recovery Center, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Freedom House Recovery Center, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Freedom House Recovery Center, Inc. Past Accepting new patients

Locations

104 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

118 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

355 S Madison Blvd
Ste C
Roxboro, NC 27573
Phone (336) 599-8366

Organizations & group practices 4

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1982295424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161213",
            "telephone_number": "919-942-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014860",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.