EVOLUTION OF SELF
NPI 1255120978
Social Worker - Clinical in Greensboro, NC

Active since May 01, 2025
701 GREEN VALLEY RD STE 100, ROOM 330, GREENSBORO, NC 27408(336) 618-7697 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evolution Of Self NPPES

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

EVOLUTION OF SELF (NPI 1255120978) is a healthcare organization registered as a clinical in Greensboro, North Carolina and active in the NPI registry since May 2025. The organization lists Dominique Shamberger, Owner, as its authorized official.

NPPES Registry Identity

NPI1255120978
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVOLUTION OF SELF
Location Address701 GREEN VALLEY RD STE 100, ROOM 330Greensboro, NC 27408-7096
Mailing Address701 Green Valley Rd Ste 100, #330Greensboro, NC 27408-7096
Organization SubpartNo
Authorized OfficialDominique ShambergerOwner · (336) 618-7697
Enumeration DateMay 1, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1255120978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
701 GREEN VALLEY RD STE 100, Greensboro, NC 27408

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Durable Medical Equipment & Medical Supplies
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408
Home Health
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408
Community/Behavioral Health
701 GREEN VALLEY RD STE 100, #410
GREENSBORO, NC 27408
Technician, Pathology (Phlebotomy)
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408
In Home Supportive Care
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408
Behavior Analyst
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408
Social Worker (Clinical)
701 GREEN VALLEY RD STE 100, #384
GREENSBORO, NC 27408
Counselor (Professional)
701 GREEN VALLEY RD STE 100
GREENSBORO, NC 27408

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 Evolution Of Self's NPI number?

The NPI number for Evolution Of Self is 1255120978. It was assigned to this organization in the NPPES registry on May 1, 2025.

Where is Evolution Of Self located?

Evolution Of Self is located at 701 Green Valley Rd Ste 100 Room 330, Greensboro, NC 27408. The listed phone number is (336) 618-7697.

What is Evolution Of Self's specialty?

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

What insurance does Evolution Of Self accept?

Health plans from Blue Cross and Blue Shield of NC list Evolution Of Self 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 Evolution Of Self was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.