MILLICENT JOHNSON SHADDEN LCSW
NPI 1336167576
Social Worker - Clinical in Winston Salem, NC
About Millicent Johnson Shadden Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILLICENT JOHNSON SHADDEN LCSW (NPI 1336167576) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C001902) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Millicent Johnson Shadden Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Millicent Shadden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 clinicians in this Medicare group
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 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 Millicent Shadden's NPI number?
The NPI number for Millicent Shadden is 1336167576. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as M Michele Johnson Lcsw.
Where is Millicent Shadden located?
Millicent Shadden practices at 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 718-3550.
What is Millicent Shadden's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Millicent Shadden enrolled in Medicare?
Yes. Millicent Shadden is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Millicent Shadden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Millicent Shadden reassigns Medicare benefits to 2 organizations: Forsyth Memorial Hospital, Inc. (Winston Salem, NC) and Novant Medical Group, Inc (Winston Salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Millicent Shadden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Millicent Shadden accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Millicent Shadden 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 Millicent Shadden was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Millicent Johnson Shadden, LCSW · NPI 1336167576
Clinical provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1336167576 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C001902 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 KIMEL PARK DR STE 100, Winston Salem, NC 27103-6951
- **Phone:** (336) 718-3550 · **Fax:** (336) 277-6981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Forsyth Memorial Hospital, Inc. (NPI 1114649894, Winston Salem, NC); Novant Medical Group, Inc (NPI 1043503287, Winston Salem, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2020
- **Other identifiers:** Medicaid 6106234 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1336167576) · Data from the CMS NPPES public registry.