Individual provider Active NPI

Shalonda Renee Leflore, MSW, LCSW

  • Clinical Social Worker
  • Shorewood, WI
National Provider Identifier
1013556885
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9307-123 Issued in WI
Practice address
4465 N Oakland Ave Unit 110
Shorewood, WI 53211-1662
Phone
(414) 899-0111
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9307-123 WI Primary

Addresses

Primary practice location

4465 N Oakland Ave Unit 110
Shorewood, WI 53211-1662

Mailing address

4465 N Oakland Ave Unit 110
Shorewood, WI 53211-1662
Phone (414) 899-0111

Other names 1

  • Shalonda Renee Julien Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9307-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Standard of Care Counseling and Consultation Service LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

6650 W State St
#203
Milwaukee, WI 53213

4465 N Oakland Ave
Unit 110
Shorewood, WI 53211
Phone (414) 246-7494

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1013556885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 N OAKLAND AVE UNIT 110",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111662",
            "telephone_number": "414-899-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 N OAKLAND AVE UNIT 110",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111662",
            "telephone_number": "414-899-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLORE",
        "first_name": "SHALONDA",
        "middle_name": "RENEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9307-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALONDA",
            "last_name": "JULIEN",
            "middle_name": "RENEE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.