SHIVANI L. CHUDASAMA LCSW
NPI 1487194171
Social Worker - Clinical in Durham, NC

Active since March 01, 2017Opted out of Medicare · through Oct 1, 2027
5475 LUMLEY RD STE 103, DURHAM, NC 27703(919) 354-0830 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2019, May 22, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About Shivani L. Chudasama Lcsw NPPES

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

SHIVANI L. CHUDASAMA LCSW (NPI 1487194171) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C011964) and active in the NPI registry since March 2017. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487194171
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIVANI L. CHUDASAMACredential: LCSW
Location Address5475 LUMLEY RD STE 103Durham, NC 27703
Mailing Address5475 Lumley Rd Ste 103Durham, NC 27703-7718
Sole ProprietorYes
Enumeration DateMarch 1, 2017
Last NPPES UpdateJanuary 3, 20193 updates tracked since enumeration
NPI 1487194171 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 · C011964 Licensed in NC · P010468
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.

5475 LUMLEY RD STE 103, Durham, NC 27703

Secondary Practice Locations 2

Location 15475 Lumley Rd Ste 103Durham, NC 27703 · Phone (919) 354-0830 ext. 527
Location 21415 W Nc Highway 54 Ste 121Durham, NC 27707 · Phone (919) 401-2933 · Fax (919) 401-2994

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Shivani L. Chudasama Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27703 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

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

Social Worker (Clinical)
5475 LUMLEY RD STE 103
DURHAM, NC 27703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487194171, enumerated as an "individual" on March 01, 2017.

The provider is located at 5475 LUMLEY RD STE 103 DURHAM, NC 27703 and the phone number is (919) 354-0830.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.