Active NPI
Shaleta Preaster, LCSW
- Clinical Social Worker
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006436
- Practice address
- 407 Cowart Ave
Valdosta, GA 31602-2635 - Phone
- (229) 834-1659
- Fax
- (877) 734-1411
- NPI assigned
- Mar 11, 2026
- Last updated
- Mar 11, 2026
- 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 | CSW006436 | GA | Primary |
Addresses
Primary practice location
407 Cowart Ave
Valdosta, GA 31602-2635
Mailing address
407 Cowart Ave
Valdosta, GA 31602-2635
Phone (229) 834-1659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1626 Jeurgens CT
Norcross, GA 30093-2219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006436 | GA | MD | Clinical Social Worker |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pruitthealth Hospice - Valdosta | Hospice | W-2 Managing Employee (100%) | Jul 16, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Pruitthealth Hospice - Valdosta
- Community Based Hospice Care Agency
- Valdosta, GA
- NPI 1063450666
W-2 Managing Employee
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.
-
dba PruittHealth Hospice - Swainsboro
- Community Based Hospice Care Agency
- Swainsboro, GA
- NPI 1013955749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1235086257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 COWART AVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022635",
"telephone_number": "229-834-1659",
"fax_number": "877-734-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 COWART AVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022635",
"telephone_number": "229-834-1659",
"fax_number": "877-734-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREASTER",
"first_name": "SHALETA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-11",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Joshua Powell
- Laura L Powell, M.ED.CCC/SLP
- Pamela W Powell, ARNP
- Patrick W. Powell
- Brittany Elise Pratt
- Premier Choice Health Services, LLC
- Premier Interventional Pain Management & Anesthesiology, P.a.
- Premise Health of Georgia Medical PC (City of Valdosta)
- Premise Health of Georgia Medical PC (My Health Center at Lowe's Valdosta)
- Catherine Ann Price, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.