Shawn Eudette Haggard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW004585 Issued in GA

Practice address

110 Shenandoah Dr NE
Calhoun, GA 30701-4717

Phone

(678) 986-7458

Fax

(706) 403-6185

NPI assigned

Aug 26, 2011

Sex

Female

Sole proprietor

Yes

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 GA

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Agape Therapeutic Services, LLC

  • Clinical Social Worker
  • Calhoun, GA
  • NPI 1114417722

  Clinical, GA

  Medicare reassignment NPD Authorized official
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  GA

  Medicare reassignment NPD
• New Heights Counseling Services LLC

  • Clinical Social Worker
  • Calhoun, GA
  • NPI 1235566209

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1487934022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHENANDOAH DR NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014717",
            "telephone_number": "678-986-7458",
            "fax_number": "706-403-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHENANDOAH DR NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014717",
            "telephone_number": "678-986-7458",
            "fax_number": "706-403-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "SHAWN",
        "middle_name": "EUDETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "LCSW004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grins and Giggles Pediatric Dentistry
• Ann Montanaro Groover, M.D.
• Shanna Brooke Guess, APRN
• Donna Marie Guevara, CSFA
• Alondra Guzman, MSOT, OTR/L
• John J Hall III, R.PH.
• Nan M Hall, R.PH.
• Alexandra Halleck, PTA
• Donna Hamilton, MED, CCC-SLP
• William A Hamilton, MD

• All providers in Calhoun, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.