Active NPI
Shania Willingham
- Social Worker
- Traverse City, MI
National Provider Identifier
1134829443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851115622
- Practice address
- 2240 W South Airport Rd
Traverse City, MI 49686 - Phone
- (231) 570-0627
- NPI assigned
- Mar 6, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851115622 | MI | Primary |
Addresses
Primary practice location
2240 W South Airport Rd
Traverse City, MI 49686
Mailing address
800 Glenview LN
Traverse City, MI 49686-4340
Phone (231) 384-2717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115622 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1134829443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GLENVIEW LN",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496864340",
"telephone_number": "231-384-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 W SOUTH AIRPORT RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49686",
"telephone_number": "231-570-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGHAM",
"first_name": "SHANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851115622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.