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

Q: What is Ladavia Prescott's NPI number?

The NPI number for Ladavia Prescott is 1780350876. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Q: What is Ladavia Prescott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ladavia Prescott was last updated on September 15, 2021. 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.

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: August 23, 2026.

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

On this page

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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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.

MRS. SUSAN D. SANDER N.P.

Nurse Practitioner