MRS. ROSA STEPHANIE SHADRIN-TOLEDO LCSW
NPI 1669821286
Social Worker - Clinical in Durham, NC
NPI Status: Active since June 03, 2016
Contact Information
2020 CHAPEL HILL RD STE 23
DURHAM, NC
ZIP 27707
Phone: (919) 688-7101
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- Opted-Out Medicare
About ROSA SHADRIN-TOLEDO
This page provides the complete NPI Profile along with additional information for Rosa Shadrin-toledo, a provider established in Durham, North Carolina with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1669821286 assigned on June 2016. The practitioner's primary taxonomy code is 1041C0700X with license number P010501 (NC). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1669821286
- Provider Name
- MRS. ROSA STEPHANIE SHADRIN-TOLEDO LCSW
- Other Name
- MISS ROSA STEPHANIE TOLEDO LCSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707
- Location Phone
- (919) 688-7101
- Mailing Address
- 6 RED SUNSET LN DURHAM, NC 27703
- Mailing Phone
- (919) 455-4555
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-03-2016
- Last Update Date
- 12-07-2019
- Code Navigator
A clinical social worker like Rosa Shadrin-toledo is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rosa Shadrin-toledo opted out of Medicare effective on 10-01-2024 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P010501
- License State
- NC
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2024
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? No
Reviews for MRS. ROSA STEPHANIE SHADRIN-TOLEDO LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 2 | 1 | 2 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 2 | 2 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 2 + 2 + 2 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1669821286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497300636 | DAYHANA A RAY Individual | Counselor (Mental Health) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1407407281 | MISS LISSETTE ROCIO GUERRERO MSW, LCSWA Individual | Counselor (Mental Health) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1407473572 | RACHEL REBECCA SIEGEL MSW Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1689086431 | COURTNEY CRAWFORD Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1780254961 | VIRGINIA SUSAN LEWIS LCSW-A Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1124697925 | DENNIS ANTONIO DUKE Individual | Counselor (Mental Health) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1861065047 | MELISSA NICOLE AMADOR Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1790458529 | RANDY GARCIA LCMHC Individual | Counselor (Mental Health) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1407286560 | MARIA RITA MALM MORGAN PHD IN PSYCHOLOGY Individual | Counselor (Professional) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1164153078 | CINDY VANESSA AVILA GARCIA Individual | Marriage & Family Therapist | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1376274092 | ADRIANA SANTIBANEZ LOPEZ Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1144955303 | ANA ISAVEL TORRES MARTINEZ MSW Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1255065736 | CRISTIAN NAYELI FIGUEROA LCSWA Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1881314920 | ALEXA FE SKANDAR MSW, LCSWA Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1548043771 | MARIA TERESA SAHONERO Individual | Counselor (Professional) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1962251264 | ALEXANDRA ORTIZ VELAZQUEZ BELISARIO Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
| 1972345148 | FARUHK AYALA SERON Individual | Social Worker (Clinical) | 2020 CHAPEL HILL RD STE 23 DURHAM, NC 27707 (919) 688-7101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669821286, enumerated in the NPI registry as an "individual" on June 03, 2016
The provider is located at 2020 Chapel Hill Rd Ste 23 Durham, Nc 27707 and the phone number is (919) 688-7101
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on October 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on June 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.