Shashelia Drewnette King

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M10636 Issued in MS

Practice address

385 Nail Road
N166
Southaven, MS 38671

Phone

(901) 206-7328

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1003620931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 MINGLE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381156234",
            "telephone_number": "901-206-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 NAIL ROAD",
            "address_2": "N166",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "901-206-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHASHELIA",
        "middle_name": "DREWNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "M10636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikara Kilpatrick, P.A.
• Chris Kim
• Lachasity Kimmons, FNP-C
• Mia Jaquay Kimmons, M.S. CCC-SLP
• Olivia Chonte King Deberry
• Sarah Michelle Kirchhoff
• Lisa Thompson Kirk, PA-C
• Lakeia Kirksey, MS
• Tameka Knight, D.D.S.
• Jamie Anne Knott, PA

• Clinical Social Worker in Southaven, MS
• Providers in Southaven, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.