Donna Delores Shavers, MSW, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P002333 Issued in NC

Practice address

1001 S Marshall St
Suite 182
Winston Salem, NC 27101-5852

Phone

(336) 722-8055

Fax

(336) 722-8188

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

No

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

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1548457096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ELM DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052131",
            "telephone_number": "336-767-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "SUITE 182",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-722-8055",
            "fax_number": "336-722-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "DONNA",
        "middle_name": "DELORES",
        "name_prefix": "Ms.",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P002333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Elise Sharpe, DO
• Matthew Ryan Sharples, D.C.
• Mallory Rich Shatlock, NURSE PRACTITIONER
• Brittany Shaver
• Shanthi Victoria Shaver, MD
• Caroline Shaw, M.ED., CCC-SLP
• Dalton Garrett Shaw, MD
• Donna Marie Shaw
• Edward Gus Shaw, MD
• Hannah Caroline Shaw

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.