Active NPI
Shontrice Renea Avery, LMSW
- Social Worker
- Atlanta, GA
National Provider Identifier
1457203283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW011836
- Practice address
- 123 Apple Street
Atlanta, GA 30312 - Phone
- (470) 222-5712
- NPI assigned
- Feb 12, 2026
- Last updated
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW011836 | GA | Primary |
Addresses
Primary practice location
123 Apple Street
Atlanta, GA 30312
Mailing address
290 M L K Jr Dr SE Unit 3420
Atlanta, GA 30312-2493
Phone (334) 401-9805
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 |
|---|---|---|---|
| MSW011836 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1457203283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 M L K JR DR SE UNIT 3420",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303122493",
"telephone_number": "334-401-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 APPLE STREET",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "470-222-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "SHONTRICE",
"middle_name": "RENEA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-12",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW011836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.