Active NPI
Shakiyah Cromwell
- Clinical Social Worker
- Raeford, NC
National Provider Identifier
1386507127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P022830
- Practice address
- 207 S Stewart St
Raeford, NC 28376-3329 - Phone
- (910) 904-7147
- NPI assigned
- Dec 8, 2025
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 | P022830 | NC | Primary |
Addresses
Primary practice location
207 S Stewart St
Raeford, NC 28376-3329
Mailing address
206 S Stewart St
Raeford, NC 28376-3330
Phone (910) 904-7147
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 |
|---|---|---|---|
| P022830 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1386507127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S STEWART ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283763330",
"telephone_number": "910-904-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S STEWART ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283763329",
"telephone_number": "910-904-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMWELL",
"first_name": "SHAKIYAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P022830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
- Paige Craven, RD
- Creative Cares Solution, PLLC
- Creative Play
- Creative Speech & Specialized Therapies
- Amanda Toyer Crew, PHARM.D.
- Crownwell Medical Prosthetics LLC
- Vickie Gail Culp, LMBT
- Cumberland County Hospital System Inc (CFV-Hoke Hospitalist Group)
- Cumberland County Hospital System Inc (Hoke Family Medical Center)
- Cumberland County Hospital System Inc (CFV-Hoke Hospital Anesthesia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.