Shieedah Unique Powe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005128 Issued in GA

Practice address

5682 Palazzo Way Ste 103
Douglasville, GA 30134-2500

Phone

(770) 577-1200

NPI assigned

Aug 21, 2018

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 names 1

• Shieedah Sharif Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mind & Energy Psychiatry, LLC

  • Psychiatry Physician
  • Newnan, GA
  • NPI 1467092494

  Clinical

  Medicare reassignment NPD
• Monarch Behavioral Health Inc

  • Mental Health Counselor
  • Douglasville, GA
  • NPI 1770930976
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1356821169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 CAPELLA CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313873",
            "telephone_number": "404-547-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 PALAZZO WAY STE 103",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342500",
            "telephone_number": "770-577-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 Holcomb Bridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300922292",
            "country_code": "US",
            "telephone_number": "855-850-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWE",
        "first_name": "SHIEEDAH",
        "middle_name": "UNIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIEEDAH",
            "last_name": "SHARIF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joya E Porties
• April Annette Potter, REGISTERED NURSE
• De'Shalah Potter, RN
• Beverly Pottinger Pickens, D.O.
• Edward Herman Pottlitzer, OD
• Olivia Power, PT, DPT
• Practitoners Community Care
• Cindy Pratt, MD
• Precious Hearts Transportation, LLC
• Preferred Private Home Care LLC

• Clinical Social Worker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.