Individual provider Active NPI

Shannon Julianne Toy, MED, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1538631528
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012947 Issued in VA
Practice address
1318 Jamestown Rd Ste 201
Williamsburg, VA 23185-3382
Phone
(757) 350-4516
Fax
(757) 275-0106
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801103628 MI
Clinical Social Worker 1041C0700X 6801109025 MI
Clinical Social Worker 1041C0700X 27505 MD
Clinical Social Worker 1041C0700X 0904012947 VA Primary

Addresses

Primary practice location

1318 Jamestown Rd Ste 201
Williamsburg, VA 23185-3382

Mailing address

1318 Jamestown Rd Ste 201
Williamsburg, VA 23185-3382
Phone (757) 350-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221013002487 VA Practitioner - Clinical Social Worker 6608242953 Reassigns benefits to 3 organizations
I20251113000579 MI Practitioner - Clinical Social Worker 6608242953 Reassigns benefits to 1 organization
I20251118003027 DC Practitioner - Clinical Social Worker 6608242953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonial Behavioral HealthGroup PAC ID 7012010549, 18 clinicians

Practice addresses (Care Compare)

1657 Merrimac TRL
Williamsburg, VA 23185-5624
Phone (757) 220-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6801103628MIMDSocial Worker
6801109025MIMDClinical Social Worker
0904012947VAMDClinical Social Worker
27505MDMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Mar 21, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 7, 2025 Accepting new patients
Colonial Behavioral Health CurrentSince Apr 18, 2025 Accepting new patients
Colonial Behavioral Health PastSince Apr 18, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1657 Merrimac Trl
Williamsburg, VA 23185
Phone (757) 220-3200

5372 Discovery Park Blvd
Ste 204
Williamsburg, VA 23188

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1538631528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853382",
            "telephone_number": "757-350-4516",
            "fax_number": "757-275-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853382",
            "telephone_number": "757-350-4516",
            "fax_number": "757-275-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOY",
        "first_name": "SHANNON",
        "middle_name": "JULIANNE",
        "name_prefix": "Mrs.",
        "credential": "MED, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103628",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27505",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.