Active NPI
Shanika H. Sanchez, LCSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1215583158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801115014
- Practice address
- 2030 Portage St
Kalamazoo, MI 49001-3836 - Phone
- (269) 553-7132
- NPI assigned
- Aug 15, 2019
- Last updated
- Aug 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0001676 | DE | |
| Clinical Social Worker | 1041C0700X | 6801115014 | MI | Primary |
Addresses
Primary practice location
2030 Portage St
Kalamazoo, MI 49001-3836
Mailing address
36 Lowry Dr
Wilmington, DE 19805-1165
Other practice location 1
1624 Jessup St
Wilmington, DE 19802-4210
Phone (302) 552-3574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Center Complex, Inc | Past | Accepting new patients |
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.
-
- Community Health Clinic/Center
- Wilmington, DE
- NPI 1770808578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1215583158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 LOWRY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198051165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 PORTAGE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013836",
"telephone_number": "269-553-7132"
}
],
"practiceLocations": [
{
"address_1": "1624 Jessup St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198024210",
"country_code": "US",
"telephone_number": "302-552-3574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "SHANIKA",
"middle_name": "H.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001676",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801115014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.