Shaniqua Lesesne, LISW-CP, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15 Broad St
Sumter, SC 29150-4224

Phone

(803) 902-5929

NPI assigned

Jul 17, 2012

Last updated

Nov 24, 2023By the provider in NPPES

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

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renewed Image Youth & Family Services, LLC

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1962277541
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC, SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1225383102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 SALTCEDAR LN",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291027543",
            "telephone_number": "803-460-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504224",
            "telephone_number": "803-902-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESESNE",
        "first_name": "SHANIQUA",
        "name_prefix": "Dr.",
        "credential": "LISW-CP, EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lee
• Kimberly Leiter
• Girma Bekele Lema, MD
• Robert Joseph Lemmer, P.T.
• Nancy Elizabeth Lesesne, RN
• Abbigail Lester
• Elizabeth B Lewis
• Jalyn Lewis
• John Curtis Terrell Lewis, DMD
• Linda D. Lewis, RN, CS

• Mental Health Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.

Verify at the official NPI Registry.