Active NPI
Shauna Soule, LCSW
- Clinical Social Worker
- Kingsland, GA
National Provider Identifier
1306520762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008562
- Practice address
- 111 Paradise CT
Kingsland, GA 31548-6908 - Phone
- (336) 561-3890
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008562 | GA | Primary |
Addresses
Primary practice location
111 Paradise CT
Kingsland, GA 31548-6908
Mailing address
111 Paradise CT
Kingsland, GA 31548-6908
Phone (336) 561-3890
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008562 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1306520762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PARADISE CT",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486908",
"telephone_number": "336-561-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PARADISE CT",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486908",
"telephone_number": "336-561-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULE",
"first_name": "SHAUNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
- Caitlin Shirley
- Ashley Marie Silva
- Sherry Sloan, APC
- Callie Grace Smith
- Sorinity Support Services, LLC
- Southeast Georgia Counseling & Play Therapy, LLC
- Southeast Treatment Center LLC
- Spine Center of Southeast Georgia LLC
- Sports Medicine and Rehab Therapy Camden (SMART Physical Therapy)
- Audrey Lou St. John, MMP, CNMT, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.