Demeshia Shannon, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12207 Issued in TN

Practice address

7947 Players Forest Dr
Memphis, TN 38119-9102

Phone

(901) 315-7216

NPI assigned

Oct 22, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1104580513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 PLAYERS FOREST DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199102",
            "telephone_number": "901-315-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7947 PLAYERS FOREST DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199102",
            "telephone_number": "901-315-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DEMESHIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://gmcounseling.teletherapy.io/",
            "affiliation": "N",
            "address_1": "7947 Players Forest Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381199102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shalom Residential Care LLC
• Carlos Shammas, MD
• Sreenath Shanker, PA-C
• Jacqueline Elizabeth Shanks, RD
• Chaquita Shanta Shannon
• Elizabeth Boyd Shannon, MD
• Helena Geissler Shannon, M.D.
• Yolanda Rechelle Shannon
• Magdalena Shapaker, FNP-C
• Thomas Shapaker, PA

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.