Active NPI
Shanna Amanda Jefferson, MSW,CFSW,LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1093012031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008185
- Practice address
- 2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273 - Phone
- (919) 794-5284
- Fax
- (866) 923-0754
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008185 | NC | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Mailing address
2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Phone (919) 794-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6009279 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 Stoneridge Dr
Suite 430
Columbia, SC 29210-8276
Phone (800) 647-3345
2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (919) 794-5284
5960 Fairview Rd
Suite 400
Charlotte, NC 28210-3119
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Total Life FL PA | Current | Accepting new patients | |
| Destination Greatness, LLC | Clinical | Current | Accepting new patients |
| Marvin Behavioral Health Ma PC | Clinical | Past | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (980) 224-3640
Interoperability endpoints
- shannajefferson@tdh.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Clinical Social Worker
- Allendale, SC
- NPI 1851722532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1093012031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 MERIDIAN PKWY STE 300",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135273",
"telephone_number": "919-794-5284",
"fax_number": "866-923-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 MERIDIAN PKWY STE 300",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135273",
"telephone_number": "919-794-5284",
"fax_number": "866-923-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "SHANNA",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MSW,CFSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008185",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6009279",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.