GAVIN THEOFIELD LCSW
NPI 1043729965
Social Worker - Clinical in Matthews, NC

Q: What is Gavin Theofield's NPI number?

The NPI number for Gavin Theofield is 1043729965. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Q: What is Gavin Theofield's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Theofield was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2017PECOS Enrolled

855 SAM NEWELL RD STE 100, MATTHEWS, NC 28105(704) 360-3637 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Sep 12, 2024, Aug 8, 2024 and 1 more (4 updates tracked since 2017).

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About Gavin Theofield Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN THEOFIELD LCSW (NPI 1043729965) is an individual clinical provider in Matthews, North Carolina, licensed in North Carolina (C017506) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Mill.

NPPES Registry Identity

NPI1043729965

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameGAVIN THEOFIELDCredential: LCSW

Location Address855 SAM NEWELL RD STE 100Matthews, NC 28105-7593

Mailing Address1561 Nunnelly Ln Apt 308Fort Mill, SC 29708-0098

Phone(704) 360-3637

Sole ProprietorNo

Enumeration DateSeptember 22, 2017

Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1043729965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NC · C017506✔ Licensed in HI · LCSW-5121

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

855 SAM NEWELL RD STE 100, Matthews, NC 28105

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Secondary Practice Location 1

Location 11561 Nunnelly Ln Apt 308Fort Mill, SC 29708-0098 · Phone (631) 704-2820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Theofield Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER NAM LCMHC

Counselor (Mental Health)