Shanelle Denor Highsmith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081738 Issued in DC

Practice address

1315 S Adams St
Fort Worth, TX 76104-4404

Phone

(833) 484-6359

NPI assigned

Jun 16, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1396313102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 KEW GARDENS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916577",
            "telephone_number": "703-531-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S ADAMS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044404",
            "telephone_number": "833-484-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHSMITH",
        "first_name": "SHANELLE",
        "middle_name": "DENOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://timely.md/",
            "affiliation": "N",
            "address_1": "1315 S Adams St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Emily High
• Talicia High
• Higher Grounds Iom LLC
• Highland Weight Loss & Wellness Clinic, P.a.
• Victoria Highland, LCSW
• Michael Glenn Hightower, PH.D.
• Nancy E Hightower, PHD
• Highway 30 Family Medical Center, PA
• Janel Higuera
• Robert Scott Hilborn, PH.D.

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.