Shvaughn Laniece Nunley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106233 Issued in MI

Practice address

18422 W McNichols Rd
Detroit, MI 48219

Phone

(313) 208-3407

Fax

(313) 209-4533

NPI assigned

May 10, 2019

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 MI

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, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bright Perspectives Therapy

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1104770767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1255997755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15445 SAINT MARYS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271927",
            "telephone_number": "313-310-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18422 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-208-3407",
            "fax_number": "313-209-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "SHVAUGHN",
        "middle_name": "LANIECE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Rene' Nugent, PT
• Phillip Andrew Nulty, MD
• Carolina Nunez, MSW
• Valerie Nunez, DO
• Alexandria Skye Nunley, B.A., LSST
• Janet Nunn
• Joya Monnett Loray Nunn
• Sharlonda Yvonne Nunn, PHARM D.
• Crystal Nunnery
• Fadumo Jama Nur, BSW

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.