MS. Shaverence Lawanda Outlaw, LRT/CTRS
MS. Shaverence Lawanda Outlaw, LRT/CTRS is a Recreation Therapist in Kernersville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1695 Kernersville Medical PkwyKernersville, NC 27284-7159
Phone: (336) 515-5000
Show map & directions
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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 · Licence P023427 (NC) |
|---|---|
| Recreation Therapist | Taxonomy 225800000X · Licence 3879 (NC) |
Record details
| NPI number | 1194356170 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LRT/CTRS |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2020 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |