Southlake Center for Self Discovery
NPI 1366656910 · Clinical Social Worker · Davidson, NC
Southlake Center for Self Discovery is a Clinical Social Worker organization in Davidson, NC (NPI 1366656910).
Provider details
- NPI number
- 1366656910
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Krueger, Owner Director(704) 896-7776
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
- 2007-05-10
- Last updated
- 2009-06-23
Frequently asked questions
- What is Southlake Center for Self Discovery's NPI number?
- Southlake Center for Self Discovery's National Provider Identifier (NPI) is 1366656910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Center for Self Discovery?
- Southlake Center for Self Discovery is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Southlake Center for Self Discovery located?
- Southlake Center for Self Discovery's practice location on file with NPPES is 903 Northeast Dr Ste 201, Davidson, NC 28036-7438.
- What is Southlake Center for Self Discovery's phone number?
- The practice phone number listed in the NPPES registry for Southlake Center for Self Discovery is (704) 896-7776.
- Who is the authorized official for Southlake Center for Self Discovery?
- The authorized official listed on Southlake Center for Self Discovery's NPPES record is Kimberly Krueger, Owner Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Center for Self Discovery's NPI active?
- Yes — Southlake Center for Self Discovery's NPI (1366656910) is active in the NPPES registry as of the last update on 2009-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.