Individual provider Active NPI

Lawanda Shepeard, LMSW

  • Social Worker
  • Carthage, MS
National Provider Identifier
1184365702
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M8018 Issued in MS
Practice address
1306 Highway 35 N
Carthage, MS 39051-3008
Phone
(601) 720-7759
Fax
(601) 298-0951
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 M8018 MS Primary

Addresses

Primary practice location

1306 Highway 35 N
Carthage, MS 39051-3008

Mailing address

PO Box 431
Carthage, MS 39051-0431
Phone (601) 720-7759

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
M8018MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Adult Daycare, LLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

1306 Highway 35 N
Carthage, MS 39051
Phone (601) 298-0950

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1184365702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390510431",
            "telephone_number": "601-720-7759",
            "fax_number": "601-298-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 35 N",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390513008",
            "telephone_number": "601-720-7759",
            "fax_number": "601-298-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPEARD",
        "first_name": "LAWANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M8018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.