Organization Active NPI

Shauna K Daniels, LCSW

  • Clinical Social Worker
  • Roanoke Rapids, NC
National Provider Identifier
1508205626
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007821 Issued in NC
Legal business name
SHAUNA K DANIELS, LCSW
Practice address
608 Jackson St Ste F
Roanoke Rapids, NC 27870-2656
Phone
(252) 308-0744
Fax
(252) 308-0092
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Shauna Daniels, MSW, LCSWNPI 1679859722
Title
Clinical Social Worker
Phone
(252) 532-5426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C007821 NC Primary

Addresses

Primary practice location

608 Jackson St Ste F
Roanoke Rapids, NC 27870-2656

Mailing address

5906 Hermitage Rd
Henrico, VA 23228-5564
Phone (252) 532-5426

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1508205626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 HERMITAGE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285564",
            "telephone_number": "252-532-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE F",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702656",
            "telephone_number": "252-308-0744",
            "fax_number": "252-308-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA K DANIELS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "252-532-5426",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.