Provider Demographics
NPI:1164395034
Name:MCCAIN, SHAVON LAVETTE (LCSWA; LCASA)
Entity type:Individual
Prefix:
First Name:SHAVON
Middle Name:LAVETTE
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:LCSWA; LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 LEGEND CREEK DIVE
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348
Mailing Address - Country:US
Mailing Address - Phone:910-574-8885
Mailing Address - Fax:
Practice Address - Street 1:951 S MCPHERSON CHURCH RD STE 105
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5383
Practice Address - Country:US
Practice Address - Phone:910-273-1393
Practice Address - Fax:910-900-0913
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30891101YA0400X
NCP0219491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)