SHADESE LISA GRIFFITH-MCCLELLAN LCSW-A,MSW
NPI 1104163625
Social Worker - Clinical in Mooresville, NC

Q: What is Shadese Griffith-mcclellan's NPI number?

The NPI number for Shadese Griffith-mcclellan is 1104163625. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Q: What is Shadese Griffith-mcclellan's specialty?

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

Active since January 04, 2013PECOS Enrolled

125 OVERHILL DR STE 105, MOORESVILLE, NC 28117(980) 430-9205(704) 799-8949 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2021, Dec 1, 2015 (2 updates tracked since 2015).

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About Shadese Lisa Griffith-mcclellan Lcsw-a,msw NPPES

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

SHADESE LISA GRIFFITH-MCCLELLAN LCSW-A,MSW (NPI 1104163625) is an individual clinical provider in Mooresville, North Carolina, licensed in North Carolina (P015291) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Statesville.

NPPES Registry Identity

NPI1104163625

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHADESE LISA GRIFFITH-MCCLELLANCredential: LCSW-A,MSW

Location Address125 OVERHILL DR STE 105Mooresville, NC 28117-8232

Mailing Address1033 Phillips LnStatesville, NC 28625-4747 · (646) 938-9097

Phone(980) 430-9205

Fax(704) 799-8949

Sole ProprietorYes

Enumeration DateJanuary 4, 2013

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1104163625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P015291

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-A -21455 (NC)

125 OVERHILL DR STE 105, Mooresville, NC 28117

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Secondary Practice Location 1

Location 11033 Phillips LnStatesville, NC 28625-4747 · Phone (646) 938-9097

Other Identifiers 1

Medicaid1104163625NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadese Lisa Griffith-mcclellan Lcsw-a,msw 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.

Medicare Billing Reassignments

Medicare enrollment records show Shadese Griffith-mcclellan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Daymark Recovery Services, Inc.

17 mi

Multi-Specialty

284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
241 clinicians in this Medicare group

NPI 1558329243 (704) 939-1100

Grow Healthcare Group PA

678 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, North Carolina enrollment
712 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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 13

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

MEGAN BYERLY

Counselor (Professional)