Samira Alexsis Shehadeh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020794 Issued in NC

Practice address

69135 Park South Drive
Suite 105
Charlotte, NC 28262-7002

Phone

(704) 810-2700

NPI assigned

Jun 10, 2024

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1073355129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E W T HARRIS BLVD STE 3111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282627002",
            "telephone_number": "704-237-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69135 PARK SOUTH DRIVE",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282627002",
            "telephone_number": "704-810-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "SAMIRA",
        "middle_name": "ALEXSIS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Paige Sheerin, PMHNP
• Courtney Paige Sheets, PA-C
• Lindsay Morgan Sheets
• Morris F Sheffer, O.D.
• Nasfat Jameel Shehadeh, MD
• Crista Mishell Shehan, COTA/L
• Sheila Gordon-Holt, D.D.S., P.a. (Holt Family Dentistry)
• Margaret Dixon Sheild, MED, LPC
• Angelika Sheiman
• Firoozeh Shekari, DDS

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.