Active NPI
Shawna D Thomerson, MSW, CSW
- Social Worker
- Winchester, KY
National Provider Identifier
1457407793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2636
- Practice address
- 400 Professional Ave
Winchester, KY 40391-1147 - Phone
- (859) 744-4482
- Fax
- (858) 737-2426
- NPI assigned
- Jan 27, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2636 | KY | Primary |
Addresses
Primary practice location
400 Professional Ave
Winchester, KY 40391-1147
Mailing address
1095 Iroquois Dr
Mount Sterling, KY 40353-8133
Phone (859) 498-8664
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 |
|---|---|---|---|
| 2636 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457407793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 IROQUOIS DR",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403538133",
"telephone_number": "859-498-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PROFESSIONAL AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911147",
"telephone_number": "859-744-4482",
"fax_number": "858-737-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMERSON",
"first_name": "SHAWNA",
"middle_name": "D",
"credential": "MSW, CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "2636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.