NPIMap

Organization Active NPI

Madeleine Shaver, LCSW LLC

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1578070504
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004705 Issued in GA
Legal business name
MADELEINE SHAVER, LCSW LLC
Practice address
700 Commercial CT Ste 102
Savannah, GA 31406-3675
Phone
(912) 272-5744
Fax
(912) 335-6559
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Madeleine Shaver, LCSW, MACNPI 1477880383
Title
Owner
Phone
(912) 272-5744

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC009266 GA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW004705 GA Primary

Addresses

Primary practice location

700 Commercial CT Ste 102
Savannah, GA 31406-3675

Mailing address

700 Commercial CT Ste 102
Savannah, GA 31406-3675

Other identifiers 4

IdentifierTypeStateIssuer
1477880383OtherGACORESOURSE
1477880383OtherGAUMR
1477880383OtherGATRICARE STANDARD
1477880383OtherGABCBS

National Provider Directory

National Provider Directory

Locations

700 Commercial Ct
Ste 102
Savannah, GA 31406
Phone (912) 272-5744

Practitioners & affiliated clinicians

Practitioners 10

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1578070504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COMMERCIAL CT STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063675",
            "fax_number": "912-335-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COMMERCIAL CT STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063675",
            "telephone_number": "912-272-5744",
            "fax_number": "912-335-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELEINE SHAVER, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-272-5744",
        "authorized_official_credential": "LCSW, MAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009266",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORESOURSE",
            "identifier": "1477880383",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMR",
            "identifier": "1477880383",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD",
            "identifier": "1477880383",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1477880383",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.