Individual provider Active NPI

Shanna S Claxton, MSW, LCSWA

  • Social Worker
  • Sanford, NC
National Provider Identifier
1114263852
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P006250 Issued in NC
Practice address
503 Carthage St
2ND Floor. Suite 202
Sanford, NC 27330-4118
Phone
(919) 937-6536
Fax
(919) 776-9432
NPI assigned
Dec 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P006250 NC Primary

Addresses

Primary practice location

503 Carthage St
2ND Floor. Suite 202
Sanford, NC 27330-4118

Mailing address

513 S Main St
Holly Springs, NC 27540-8901
Phone (919) 937-6536

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P006250NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1114263852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S MAIN ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408901",
            "telephone_number": "919-937-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CARTHAGE ST",
            "address_2": "2ND FLOOR. SUITE 202",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304118",
            "telephone_number": "919-937-6536",
            "fax_number": "919-776-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "SHANNA",
        "middle_name": "S",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P006250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.