Active NPI
Sheila K Drennen, MSW
- Clinical Social Worker
- Shallote, NC
National Provider Identifier
1073578027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003579
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12774 | Other | NC | BLUE CROSS/BLUE SHIELD |
| 6002687 | Medicaid | NC |
Other names 1
- Miss Sheila K Drennen
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
| License | State | Type | Specialty |
|---|---|---|---|
| C003579 | NC | MD | Clinical 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.