Individual provider Active NPI

Alesha Denise Shaheen-Williams, MSW, ACSW, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1487764650
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067887 Issued in MI
Practice address
3284 Paulan Dr
Bay City, MI 48706-2013
Phone
(989) 245-2702
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801067887 MI Primary

Addresses

Primary practice location

3284 Paulan Dr
Bay City, MI 48706-2013

Mailing address

3284 Paulan Dr
Bay City, MI 48706-2013
Phone (989) 245-2702

Other names 1

  • Mrs. Alesha Denise Shaheen-Gerard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170224001918 MI Practitioner - Clinical Social Worker 3173415585 Practice locations: Bay City, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3284 Paulan Dr
Bay City, MI 48706-2013
Phone (989) 245-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6801067887MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1487764650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 PAULAN DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062013",
            "telephone_number": "989-245-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 PAULAN DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062013",
            "telephone_number": "989-245-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN-WILLIAMS",
        "first_name": "ALESHA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESHA",
            "last_name": "SHAHEEN-GERARD",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.