IndividualActive
Kenneth Shore, LCSW
NPI 1871762641 · Clinical Social Worker · Raleigh, NC
Kenneth Shore, LCSW is a Clinical Social Worker provider in Raleigh, NC (NPI 1871762641).
Provider details
- NPI number
- 1871762641
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- C003006 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4112 Blue Ridge Road
2nd Floor
Raleigh, NC 27612-4652
Phone: (919) 573-6520
Fax: (919) 573-6557
Street-level locationGet directions
Mailing address
25 Blackstone Valley Place
Lincoln, RI 02865-1163
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2008-02-26
Frequently asked questions
- What is Kenneth Shore's NPI number?
- Kenneth Shore's National Provider Identifier (NPI) is 1871762641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Shore's specialty?
- Kenneth Shore is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenneth Shore located?
- Kenneth Shore's practice location on file with NPPES is 4112 Blue Ridge Road, Raleigh, NC 27612-4652.
- What is Kenneth Shore's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Shore is (919) 573-6520.
- Is Kenneth Shore's NPI active?
- Yes — Kenneth Shore's NPI (1871762641) is active in the NPPES registry as of the last update on 2008-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.