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SOUTHSIDE UNITED HEALTH CENTERS
NPI 1861929523
Social Worker - Clinical in Winston Salem, NC

Active since May 12, 2017
3009 WAUGHTOWN ST, WINSTON SALEM, NC 27107(336) 293-8728(336) 293-8733 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2018, May 12, 2017 (2 updates tracked since 2017).

About Southside United Health Centers NPPES

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

SOUTHSIDE UNITED HEALTH CENTERS (NPI 1861929523) is a healthcare organization registered as a clinical in Winston Salem, North Carolina and active in the NPI registry since May 2017. The organization lists Shirley Kotofsky, Financial Services Representative, as its authorized official.

NPPES Registry Identity

NPI1861929523
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTHSIDE UNITED HEALTH CENTERS
Location Address3009 WAUGHTOWN STWinston Salem, NC 27107
Mailing Address3009 Waughtown StWinston Salem, NC 27107-1634 · (336) 293-8728 · Fax (336) 293-8733
Phone(336) 293-8728
Fax(336) 293-8733
Organization SubpartNo
Authorized OfficialShirley KotofskyFinancial Services Representative · (336) 955-1379
Enumeration DateMay 12, 2017
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
✔ NPI 1861929523 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.
3009 WAUGHTOWN ST, Winston Salem, NC 27107
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RHC & ALLIED HEALTH ASSOCIATES
Clinic/Center (Urgent Care)
3009 WAUGHTOWN ST
WINSTON-SALEM, NC 27107
Forsyth County (336) 722-7800

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 Southside United Health Centers's NPI number?

The NPI number for Southside United Health Centers is 1861929523. It was assigned to this organization in the NPPES registry on May 12, 2017.

Where is Southside United Health Centers located?

Southside United Health Centers is located at 3009 Waughtown St, Winston Salem, NC 27107. The listed phone number is (336) 293-8728.

What is Southside United Health Centers'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 Southside United Health Centers was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.