Active NPI
Shahana N Garner, L.C.S.W.
- Clinical Social Worker
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005579
- Practice address
- 9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162 - Phone
- (804) 693-5068
- Fax
- (804) 693-7407
- NPI assigned
- Apr 12, 2006
- Last updated
- Feb 26, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005579 | VA | Primary |
Addresses
Primary practice location
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Mailing address
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone (804) 693-5068
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 386618 | Other | VA | ANTHEM |
| 386618 | Other | VA | HEALTHKEEPERS |
| 386618 | Medicaid | VA | |
| O87096M | Medicaid | VA | |
| O87096M | Other | VA | SOUTHERN HEALTH |
| 331732 | Other | VA | TRICARE |
| 004945115 | Medicaid | VA |
Other names 1
- Shahana Keisler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone (804) 693-5057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Peninsula Northern Neck Mental Health & Retardation | Current | Accepting new patients | |
| Middle Peninsula-Northern Neck Mental Health and Mental Retardation | Current | Accepting new patients |
Locations
9228 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-5057
Organizations & group practices 2
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1205890860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614162",
"telephone_number": "804-693-5068",
"fax_number": "804-693-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614162",
"telephone_number": "804-693-5068",
"fax_number": "804-693-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "SHAHANA",
"middle_name": "N",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "386618",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS",
"identifier": "386618",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "386618",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O87096M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "O87096M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "331732",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945115",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAHANA",
"last_name": "KEISLER",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.