Individual provider Active NPI

Shonell Lenisha Dillon, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1376821603
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8950 Issued in LA
Practice address
7809 Airline Dr Ste 200a
Metairie, LA 70003-6440
Phone
(504) 333-2206
Fax
(504) 389-6219
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8950 LA
Clinical Social Worker 1041C0700X 8950 LA Primary

Addresses

Primary practice location

7809 Airline Dr Ste 200a
Metairie, LA 70003-6440

Mailing address

1411 S Wilson Ave
Metairie, LA 70003-6223
Phone (504) 333-2206

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8950LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia de Village Clinical CurrentSince Apr 28, 2024 Accepting new patients
The Guidance Center Inc PastSince Jul 24, 2022 Accepting new patients
TGC Learning Center Past Accepting new patients

Locations

7809 Airline Dr
Ste 200A
Metairie, LA 70003
Phone (504) 333-2206

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1376821603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S WILSON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700036223",
            "telephone_number": "504-333-2206",
            "fax_number": "504-389-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 AIRLINE DR STE 200A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700036440",
            "telephone_number": "504-333-2206",
            "fax_number": "504-389-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SHONELL",
        "middle_name": "LENISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.