Active NPI
Shanise Williams
- Social Worker
- Suffolk, VA
National Provider Identifier
1356041180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2000 Ironside Dr Apt 415
Suffolk, VA 23435-3887 - Phone
- (224) 422-8877
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2000 Ironside Dr Apt 415
Suffolk, VA 23435-3887
Mailing address
3105 Caymon CT
Chesapeake, VA 23321-2444
Phone (305) 432-0679
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Re-Entry | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Durham, NC
- NPI 1740040591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1356041180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 CAYMON CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233212444",
"telephone_number": "305-432-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 IRONSIDE DR APT 415",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353887",
"telephone_number": "224-422-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHANISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.