Jody M. Shanker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004251 Issued in NC

Practice address

6853 Fairview Rd
Suite B
Charlotte, NC 28210-3662

Phone

(704) 366-9930

Fax

(704) 366-9931

NPI assigned

Jul 17, 2006

Last updated

May 29, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1285652214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 GERREN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173093",
            "telephone_number": "704-576-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 FAIRVIEW RD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103662",
            "telephone_number": "704-366-9930",
            "fax_number": "704-366-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKER",
        "first_name": "JODY",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106374",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Livia Shander, DO
• Shane Lu, D.D.S. PLLC (Precision Dental Center)
• Deepika Shangula, M.D
• Richard Anthony Shank, OD
• Ann H. Shankar, CNS, NP
• Lillian Naomi Shankman
• Amanda Jernigan Shanks, LPC
• David E. Shanks
• Danielle M. Shanley
• Shannon G. Parsons of North Carolina P.a (Carolina Periodontics)

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 May 29, 2013; 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.