Teneisha Shanta Vaughan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0906012067 Issued in VA

Practice address

2211 S Military Hwy Ste B23320
Chesapeake, VA 23320-5987

Phone

(757) 633-5168

NPI assigned

Jan 18, 2022

Last updated

Jan 25, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1245981505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SPRING AVE",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551829",
            "telephone_number": "252-396-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S MILITARY HWY STE B23320",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205987",
            "telephone_number": "757-633-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "TENEISHA",
        "middle_name": "SHANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906012067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Virginia Varo, PT
• Vashti Center
• Shanequa Martine Vass
• Dyverynce Vaughan, LPC
• Olivia Vaughan, RBT
• Ashara Vaughn
• Susan E Vaughn, MSPT
• Diana Vecerdea
• Nicole K Veech
• Kelly M Vega-Valenzuela

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.