Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evolution of Self

Organization Clinical Social Worker · NPI 1255120978

Evolution of Self is a Clinical Social Worker in Greensboro, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

701 Green Valley Rd Ste 100 Rm 330
Greensboro, NC 27408-7096
Phone: (336) 618-7697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255120978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Shamberger — Owner · (336) 618-7697
NPI enumeratedMay 1, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address701 Green Valley Rd Ste 100, 330, Greensboro, NC 27408-7096

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