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SHELBY KAILIN GRANDOLFO
NPI 1770221020
Social Worker - Clinical in Southern Pines, NC

Active since May 26, 2022PECOS Enrolled
101 BRADFORD VILLAGE CT, SOUTHERN PINES, NC 28387(910) 684-8750(910) 725-0536 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shelby Kailin Grandolfo NPPES

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

SHELBY KAILIN GRANDOLFO (NPI 1770221020) is an individual clinical provider in Southern Pines, North Carolina and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770221020
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY KAILIN GRANDOLFO
Location Address101 BRADFORD VILLAGE CTSouthern Pines, NC 28387-5451
Mailing Address402 Harris AveRaeford, NC 28376-3112 · (910) 875-5590 · Fax (910) 875-5008
Phone(910) 684-8750
Fax(910) 725-0536
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1770221020 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.
101 BRADFORD VILLAGE CT, Southern Pines, NC 28387
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Kailin Grandolfo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274097886
PECOS Enrollment IDI20260715000801
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.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Grandolfo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Vision Counseling & Consulting Agency PLLC
16 mi
Clinical
632 W PROSPECT AVE
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1336661826 (910) 875-5590

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 28387 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 2

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

JUSTIN ANDREW BALL
Social Worker (Clinical)
101 BRADFORD VILLAGE CT
SOUTHERN PINES, NC 28387
Moore County (910) 684-8750
MRS. COLLEEN RENEE MERKINS
Social Worker (Clinical)
101 BRADFORD VILLAGE CT
SOUTHERN PINES, NC 28387
Moore County (910) 684-8750

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 Shelby Grandolfo's NPI number?

The NPI number for Shelby Grandolfo is 1770221020. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Shelby Grandolfo located?

Shelby Grandolfo practices at 101 Bradford Village Ct, Southern Pines, NC 28387. The listed phone number is (910) 684-8750.

What is Shelby Grandolfo's specialty?

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

Is Shelby Grandolfo enrolled in Medicare?

Yes. Shelby Grandolfo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Grandolfo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Grandolfo reassigns Medicare benefits to Greater Vision Counseling & Consulting Agency PLLC (Raeford, NC). The 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 Shelby Grandolfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Grandolfo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Shelby Grandolfo 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 Shelby Grandolfo was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.