Shontell Buffington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12396 Issued in LA

Practice address

3029 S Sherwood Forest Blvd Ste 205
Baton Rouge, LA 70816-2276

Phone

(225) 366-8766

Fax

(225) 208-1800

NPI assigned

Aug 24, 2017

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• 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.

• Mending the Soul Restoration of the Mind Body and Soul

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1518610674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1417474057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64594",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708964594",
            "telephone_number": "225-366-8766",
            "fax_number": "225-208-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 S SHERWOOD FOREST BLVD STE 205",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162276",
            "telephone_number": "225-366-8766",
            "fax_number": "225-208-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Highway 1042",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "LA",
            "postal_code": "704414241",
            "country_code": "US",
            "telephone_number": "225-306-2097",
            "fax_number": "225-222-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "SHONTELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly WS Budgewater, MSW
• Hailey Clair Budnick, MD
• Alycia Bueche
• Deborah D Bueche, LOTR, CHT
• Morgan Bueche, PLPC
• Michael Bugg II, C.I.T.
• Britney Alicia Buggage, MSN, APRN, FNP-C
• Diem-Phuong Sarah Cao Bui, OD
• Thuy-Anh Kiev Bui, DDS
• Felicity Z Buie

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.