Shatonya Craddock

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56789 Issued in TX

Practice address

100 W Central Texas Expy
310B
Harker Heights, TX 76548-2079

Phone

(210) 271-7411

Fax

(210) 271-9414

NPI assigned

Nov 12, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1477926475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125712",
            "telephone_number": "210-271-3630",
            "fax_number": "210-271-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL TEXAS EXPY",
            "address_2": "310B",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482079",
            "telephone_number": "210-271-7411",
            "fax_number": "210-271-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "SHATONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "56789",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Cortez-Gillman
• Timothy Sean Counihan Jr., DPT
• Kalyn Courtney
• Marlana Craft
• Amber Love Crawford, LPC-A
• Odessa Crawford
• Cyntell Crosby
• Viola May Crowder-Moger, LMT

• Clinical Social Worker in Harker Heights, TX
• Providers in Harker Heights, 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 Feb 1, 2016; 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.