Shemila S. Chancellor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40288 Issued in TX

Practice address

805 FM 1187 E Ste B
Crowley, TX 76036-4300

Phone

(817) 888-8131

Fax

(817) 928-1666

NPI assigned

Sep 11, 2007

Last updated

Feb 28, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mid Cities Counseling Center, PLLC

  • Counselor
  • Crowley, TX
  • NPI 1770997074
  Authorized official Same address or phone

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1275728354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760340242",
            "telephone_number": "817-888-8131",
            "fax_number": "817-928-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FM 1187 E STE B",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364300",
            "telephone_number": "817-888-8131",
            "fax_number": "817-928-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Colleyville Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760346131",
            "country_code": "US",
            "telephone_number": "817-888-8131 x702",
            "fax_number": "817-928-1666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5005 Colleyville Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760346138",
            "country_code": "US",
            "telephone_number": "817-888-8131 x702",
            "fax_number": "817-928-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCELLOR",
        "first_name": "SHEMILA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "40288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18160",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Casto, LSWAIC/LMSW
• Alejandra M Castro
• Mary Christine Chace Highfill, LCSW, PHD
• Daniel Chadwick, MD
• Portia Lavonne Chambers
• Chisholm Trail Mentalhealth and Therapy Services PLLC
• City of Crowley (Crowley Vol. Fire Department)
• CJR Empowered Living Homes
• Ja'Cole Clark
• Janice L Clark

• Clinical Social Worker in Crowley, TX
• Providers in Crowley, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.