Active NPI
Christopher Scoville, LCSW, LCAS
- Clinical Social Worker
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014860
- Practice address
- 104 New Stateside Dr
Chapel Hill, NC 27516-1213 - Phone
- (919) 942-2803
- NPI assigned
- Jan 28, 2021
- Last updated
- Nov 25, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25618 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C014860 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom House Recovery Center, Inc. | Current | Accepting new patients | |
| Freedom House Recovery Center, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Roxboro, NC
- NPI 1093986523
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1205904265
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1548490378
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1609047158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.