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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid1104163625NC

Accepted 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)

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.

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.

Counselor (Professional)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Social Worker (Clinical)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Counselor (Mental Health)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Marriage & Family Therapist
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Counselor (Mental Health)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Marriage & Family Therapist
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Social Worker (Clinical)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117
Social Worker (Clinical)
125 OVERHILL DR STE 105
MOORESVILLE, NC 28117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Shadese Griffith-mcclellan located?

Shadese Griffith-mcclellan practices at 125 Overhill Dr Ste 105, Mooresville, NC 28117. The listed phone number is (980) 430-9205.

What is Shadese Griffith-mcclellan's specialty?

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

Is Shadese Griffith-mcclellan enrolled in Medicare?

Yes. Shadese Griffith-mcclellan is registered in the Medicare PECOS enrollment system.

What insurance does Shadese Griffith-mcclellan accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Shadese Griffith-mcclellan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadese Griffith-mcclellan was last updated on February 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.