Individual provider Active NPI

Shaunte Harris, REGISTER SOCIAL WORK

  • Social Worker
  • Toledo, OH
National Provider Identifier
1023509460
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W.2600529 Issued in OH
Practice address
5650 W Central Ave Ste B1
Toledo, OH 43615-1519
Phone
(419) 843-8006
NPI assigned
May 22, 2018
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.173763 OH
Children's Substance Abuse Rehabilitation Facility 3245S0500X CDCA.173763 OH
Social Worker 104100000X W.2600529 OH Primary

Addresses

Primary practice location

5650 W Central Ave Ste B1
Toledo, OH 43615-1519

Mailing address

4429 Packard Rd
Toledo, OH 43612-1943
Phone (419) 973-2757

Other practice location 1

5650 W Central Ave Ste B1
Toledo, OH 43615-1519
Phone (419) 843-8006

Other practice location 2

6450 Weatherfield Ct
maumee, OH 43537
Phone (419) 360-9747

Other practice location 3

350 S Irwin
Holland, OH 43528
Phone (567) 703-9064

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
CDCA.173763OHMDAddiction (Substance Use Disorder) Counselor
W.2600529OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot Clinical Services of Ohio LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1023509460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 PACKARD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121943",
            "telephone_number": "419-973-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W CENTRAL AVE STE B1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151519",
            "telephone_number": "419-843-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 W Central Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436151519",
            "country_code": "US",
            "telephone_number": "419-843-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 Weatherfield Ct",
            "address_purpose": "LOCATION",
            "city": "maumee",
            "state": "OH",
            "postal_code": "43537",
            "country_code": "US",
            "telephone_number": "419-360-9747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Irwin",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "43528",
            "country_code": "US",
            "telephone_number": "567-703-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHAUNTE",
        "credential": "REGISTER SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173763",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OH",
            "license": "CDCA.173763",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "W.2600529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.