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MS. JOETTA A. SHEPHERD MSW, LCSW
NPI 1760588057
Social Worker - Clinical in Winston Salem, NC

Active since September 15, 2006
610 COLISEUM DR, WINSTON SALEM, NC 27106(336) 722-8173(337) 724-6491 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Joetta A. Shepherd Msw, Lcsw NPPES

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

MS. JOETTA A. SHEPHERD MSW, LCSW (NPI 1760588057) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C000101) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1760588057
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JOETTA A. SHEPHERDCredential: MSW, LCSW
Location Address610 COLISEUM DRWinston Salem, NC 27106-5325
Mailing Address610 Coliseum DrWinston Salem, NC 27106-5325 · (336) 722-8173 · Fax (337) 724-6491
Phone(336) 722-8173
Fax(337) 724-6491
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760588057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C000101
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.
610 COLISEUM DR, Winston Salem, NC 27106
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Other Identifiers 1

Medicaid6003376NC

Other Providers at the Same Location NPPES 5

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

MR. JAMES MITCHELL LCSW
Social Worker (Clinical)
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
FAMILY SERVICES, INC.
Social Worker (Clinical)
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
MR. ROBERT A. PEATY LMFT
Marriage & Family Therapist
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
YOSHICAZU D NAGAISHI MSW
Marriage & Family Therapist
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
MS. LISA ANNE PEATY LCSW
Social Worker (Clinical)
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173

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 Joetta Shepherd's NPI number?

The NPI number for Joetta Shepherd is 1760588057. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Joetta Shepherd located?

Joetta Shepherd practices at 610 Coliseum Dr, Winston Salem, NC 27106. The listed phone number is (336) 722-8173.

What is Joetta Shepherd's specialty?

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

When was this NPI record last updated?

The NPPES record for Joetta Shepherd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.