Shavona Shamika Layne

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126246 Issued in NY

Practice address

25 Second Avenue, Unit 136,
Brentwood, NY 11717

Phone

(631) 918-0807

NPI assigned

Jun 8, 2017

Reactivated

Feb 12, 2025

Sex

Female

Sole proprietor

Yes

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1306375753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 2ND AVE UNIT 136",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117178042",
            "telephone_number": "631-918-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SECOND AVENUE, UNIT 136,",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-918-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Bell Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612097",
            "country_code": "US",
            "telephone_number": "718-504-9256 x49256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "SHAVONA",
        "middle_name": "SHAMIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "deactivation_date": "2021-01-25",
        "reactivation_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "126246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizy Kurian
• Min Gyu Kwak, DDS, PHD
• Charles Lambert, RPA-C
• Kelly Lane
• Kelly Lang
• Maomet Francois Lebrun
• Brian Leddy, MD
• Vincent Richard Leddy, M.D.
• Christopher Sukchan Lee, DC
• Wendy Leiva

• Social Worker in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.