Individual provider Active NPI

Sheila K Drennen, MSW

  • Clinical Social Worker
  • Shallote, NC
National Provider Identifier
1073578027
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003579 Issued in NC
Practice address
624 Village Rd.
Suite 1a
Shallote, NC 28459
Phone
(910) 755-6563
Fax
(910) 755-6565
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 C003579 NC Primary

Addresses

Primary practice location

624 Village Rd.
Suite 1a
Shallote, NC 28459

Mailing address

PO Box 1805
624 Village Rd. , Suite 1a
Shallotte, NC 28459-1805
Phone (910) 755-6563

Other identifiers 2

IdentifierTypeStateIssuer
12774OtherNCBLUE CROSS/BLUE SHIELD
6002687MedicaidNC

Other names 1

  • Miss Sheila K Drennen Professional 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003579NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073578027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "address_2": "624 VILLAGE RD. , SUITE 1A",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284591805",
            "telephone_number": "910-755-6563",
            "fax_number": "910-755-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 VILLAGE RD.",
            "address_2": "SUITE 1A",
            "city": "SHALLOTE",
            "state": "NC",
            "postal_code": "28459",
            "telephone_number": "910-755-6563",
            "fax_number": "910-755-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNEN",
        "first_name": "SHEILA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "12774",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002687",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "DRENNEN",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.