Shaneisha Hardee, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019799 Issued in NC

Practice address

2225 Freedom Dr Ste 2
Charlotte, NC 28208-4035

Phone

(704) 537-7775

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christ Centered Community Counseling PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1699200170
  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1114755915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 KELSEY EMMA CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694140",
            "telephone_number": "704-537-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 FREEDOM DR STE 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084035",
            "telephone_number": "704-537-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "SHANEISHA",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Harazim, FNP
• James Harbin, PH.D.
• Margaret Countiss Harbison, LCSW
• Olin H Harbury, M.D.
• Rita Fallone Harbury, PA-C
• Camille Freeman Harden, NP
• Christien Harden, MSW, LCSW, LCAS, CCS
• Dia Harden, ED. S.
• Meg Hardesty
• Maria Camila Hardill, MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.