Shakera Rainner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06037800 Issued in NJ

Practice address

288 Egg Harbor Rd Ste 9
Sewell, NJ 08080-3131

Phone

(856) 720-0106

NPI assigned

Jul 13, 2022

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

Practice roles

Locations

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.

• Empowered Minds Wellness Center

  • Clinical Social Worker
  • Sewell, NJ
  • NPI 1215716873
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1063146348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HAMPTON GATE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812507",
            "telephone_number": "856-265-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 EGG HARBOR RD STE 9",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803131",
            "telephone_number": "856-720-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Hampton Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080812507",
            "country_code": "US",
            "telephone_number": "856-265-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINNER",
        "first_name": "SHAKERA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06037800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepa R. Quadir-Alam, PA-C
• R-Smile Dental Care
• Ra Pain Services PA
• Ra Pain Services, P.a.
• Amanda Rader, MSN, FNP-C
• Altamash Raja, D.O.
• Srushti Raja, DO
• Karina Rachel Randazzo, M.S. OTR/L
• Mildred B. Randolph, DO
• Joseph N. Ranieri, DO

• Clinical Social Worker in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.