Individual provider Active NPI

Shuntay Renee Strachan, LCSW, EDD

  • Clinical Social Worker
  • Hiram, GA
National Provider Identifier
1265073621
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005510 Issued in GA
Practice address
1899 Lake Rd
Hiram, GA 30141-2291
Phone
(404) 907-6635
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW005510 GA
School Social Worker 1041S0200X CSW005510 GA
Clinical Social Worker 1041C0700X CSW005510 GA Primary

Addresses

Primary practice location

1899 Lake Rd
Hiram, GA 30141-2291

Mailing address

3070 Staglin Dr
Powder Springs, GA 30127-5082
Phone (912) 674-7002

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL inspiringhealingandhope@gmail.com
CONNECT URL inspiringhealingandhope@gmail.com
CONNECT URL inspiringhealingandhope@gmail.com Direct
CONNECT URL inspringhealingandhope.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW005510GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1265073621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 STAGLIN DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275082",
            "telephone_number": "912-674-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412291",
            "telephone_number": "404-907-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRACHAN",
        "first_name": "SHUNTAY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "LCSW, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW005510",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "GA",
            "license": "CSW005510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inspiringhealingandhope@gmail.com",
            "affiliation": "N",
            "address_1": "1899 Lake Rd",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301412291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inspiringhealingandhope@gmail.com",
            "affiliation": "N",
            "address_1": "1899 Lake Rd",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301412291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inspiringhealingandhope@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1899 Lake Rd",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301412291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inspringhealingandhope.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "1899 Lake Rd",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301412291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

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