Mrs. Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A
Mrs. Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A is a Mental Health Counselor in Tobaccoville, North Carolina. Qualified in 2015, 11 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.
- Years since qualifying
- 11
- Licensed in
- NC
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
150 Norwood Forest LnTobaccoville, NC 27050-9498
Phone: (866) 700-1606
Fax: (866) 338-5921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 12241 (NC) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LCAS-22760 (NC) |
Record details
| NPI number | 1780030270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , QP , LPC , LCAS-A |
| Sole proprietor | No |
| NPI enumerated | May 13, 2016 |
| Last updated in NPPES | August 6, 2021 |
| Certification date | August 6, 2021 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Thriveworks Clinical - North Carolina Pc — 111 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |