MS. LADAVIA TIARA SHONTRELL PRESCOTT LCSWA
NPI 1780350876
Social Worker - Clinical in Kernersville, NC

Active since August 18, 2021PECOS Enrolled
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 515-5000 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2021, Aug 18, 2021 (2 updates tracked since 2021).

About Ms. Ladavia Tiara Shontrell Prescott Lcswa NPPES

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

MS. LADAVIA TIARA SHONTRELL PRESCOTT LCSWA (NPI 1780350876) is an individual clinical provider in Kernersville, North Carolina, licensed in South Carolina (13776) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780350876
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LADAVIA TIARA SHONTRELL PRESCOTTCredential: LCSWA
Location Address1695 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7159
Mailing Address1695 Kernersville Medical PkwyKernersville, NC 27284-7159 · (336) 515-5000
Sole ProprietorNo
Enumeration DateAugust 18, 2021
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1780350876 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 SC · 13776 Licensed in GA · 009525 Licensed in NC · P016113
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.

1695 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Ladavia Tiara Shontrell Prescott Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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 20

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

Pharmacy Technician
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Psychologist (Clinical)
1695 KERNERSVILLE MEDICAL PKWY, REYNOLDA GARDENS ROOM 2343
KERNERSVILLE, NC 27284
Psychologist (Clinical)
1695 KERNERSVILLE MEDICAL PKWY, VETERANS AFFAIRS
KERNERSVILLE, NC 27284
Dietitian, Registered
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Psychologist (Clinical)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Registered Nurse
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Social Worker (Clinical)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Internal Medicine (Geriatric Medicine)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780350876, enumerated as an "individual" on August 18, 2021.

The provider is located at 1695 KERNERSVILLE MEDICAL PKWY KERNERSVILLE, NC 27284 and the phone number is (336) 515-5000.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Oscar Health. Please consult your insurance carrier or call the provider to verify.