Shaquanna Grovner, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009231 Issued in NC

Practice address

603 Pecan LN
Whiteville, NC 28472-2949

Phone

(910) 640-1400

Fax

(910) 640-1402

NPI assigned

Nov 12, 2014

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

Other names 1

• Shaquanna Troy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1689750663
  NPD (past)
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019

  Clinical

  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1225434640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PECAN LN",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722949",
            "telephone_number": "910-640-1400",
            "fax_number": "910-640-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 PECAN LN",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722949",
            "telephone_number": "910-640-1400",
            "fax_number": "910-640-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVNER",
        "first_name": "SHAQUANNA",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAQUANNA",
            "last_name": "TROY",
            "credential": "LCAS-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry Walster Graham, LCASA
• Lenzy O'Dell Graham, M.A. LPC-A
• Meki Jacobs Graham, ANP-C
• David Lawrence Greco, M.D.
• John R. Greene III, M.D.
• GSS,LLC
• GSS,LLC
• Guitons Drug Store
• Teresa Kay Guyton, RN
• H & H Mental Health Associates, PLLC

• Clinical Social Worker in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.