Millicent Shadden, LCSW
NPI 1336167576 · Clinical Social Worker · Winston Salem, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Millicent Shadden, LCSW is a Clinical Social Worker provider in Winston Salem, NC (NPI 1336167576).
Provider details
- NPI number
- 1336167576
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- C001902 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Frequently asked questions
- What is Millicent Shadden's NPI number?
- Millicent Shadden's National Provider Identifier (NPI) is 1336167576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Millicent Shadden's specialty?
- Millicent Shadden is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Millicent Shadden located?
- Millicent Shadden's practice location on file with NPPES is 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951.
- What is Millicent Shadden's phone number?
- The practice phone number listed in the NPPES registry for Millicent Shadden is (336) 718-3550.
- Does Millicent Shadden accept Medicare?
- Millicent Shadden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Millicent Shadden's NPI active?
- Yes — Millicent Shadden's NPI (1336167576) is active in the NPPES registry as of the last update on 2020-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.