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

Christina Shelby Boland, LCSW

Individual provider Mental Health Counselor · NPI 1043961675

Christina Shelby Boland, LCSW is a Clinical Social Worker in Statesville, North Carolina. Qualified in 2020, 6 years ago. Practices with Easter Seals Ucp North Carolina and Virginia, Inc, a 47-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

619 Sullivan Rd
Statesville, NC 28677-3437
Phone: (704) 871-0934
Fax: (704) 402-1065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1874 W Old Hwy 64, Lexington, NC 27295 — (336) 609-3737
  • 414 W Lebanon St, Mount Airy, NC 27030-2954 — (336) 789-9492

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P016000 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence P016000 (NC)

Record details

NPI number1043961675
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Easter Seals Ucp North Carolina And Virginia, Inc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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