Shawtay D Reese, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008240 Issued in NC

Practice address

4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625

Phone

(919) 432-5781

NPI assigned

Apr 29, 2013

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peoples Network Agency

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1679333827
  Medicare reassignment NPD Authorized official
• Insight Family Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1518232560
  Medicare reassignment NPD
• Quality Care Solutions Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1568595510
  Medicare reassignment NPD
• Peace and Serenity Network LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1871337501
  NPD Authorized official
• Peoples Network

  • Community/Behavioral Health Agency
  • Warrenton, NC
  • NPI 1396308920
  Authorized official Same address or phone
• Comprehensive Interventions Inc

  • Case Management Agency
  • Williamston, NC
  • NPI 1992090823
  NPD (past)
• Comprehensive Interventions, Inc.

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1760522528
  NPD (past)
• Comprehensive Interventions, Inc.

  • Case Management Agency
  • Robersonville, NC
  • NPI 1902036395
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1245674605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 CHEHAW DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106482",
            "telephone_number": "919-559-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 BARRETT DR STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096625",
            "telephone_number": "919-432-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Bragg St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "NC",
            "postal_code": "275892048",
            "country_code": "US",
            "telephone_number": "919-559-2692",
            "fax_number": "252-557-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "SHAWTAY",
        "middle_name": "D",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "C008240",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Rees, MD
• Michelle Reese-Josefsberg, LCSW
• Benjamin David Reese Jr., PSYD
• Madison Reese, LCMHCA
• Maegan Nicholle Reese
• Teresa Eliane Reese
• Rebekka Jonette Reets, CPED
• Rebecca Elliott Reeves, DMD
• Sheena Reeves
• Refined Expressions PLLC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Jun 10, 2024; 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.