Individual provider Active NPI

Shanta Denard Clay

  • Clinical Social Worker
  • Chester, VA
National Provider Identifier
1609357763
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015722 Issued in VA
Practice address
12049 Almer LN
Chester, VA 23836-3081
Phone
(224) 425-9388
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0904015722 VA
Clinical Social Worker 1041C0700X 0904015722 VA Primary

Addresses

Primary practice location

12049 Almer LN
Chester, VA 23836-3081

Mailing address

12049 Almer LN
Chester, VA 23836-3081
Phone (224) 425-9388

Other names 1

  • Shanta Denard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240206000891 VA Practitioner - Clinical Social Worker 0547603631 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015722VAMDSubstance Use Disorder Rehabilitation Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Supervision Central and Counseling Services Clinical CurrentSince Oct 1, 2023 Accepting new patients
MCV Associated Physicians CurrentSince Sep 22, 2024 Accepting new patients
Journey to Prosperity Mental Health Rehabilitation, Substance Use Disorder Current Accepting new patients
Taecare Therapy Services LLC Clinical CurrentSince Mar 6, 2025 Accepting new patients

Locations

1000 E Broad St
Richmond, VA 23219

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1609357763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12049 ALMER LN",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363081",
            "telephone_number": "224-425-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12049 ALMER LN",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363081",
            "telephone_number": "224-425-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARD CLAY",
        "first_name": "SHANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "0904015722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTA",
            "last_name": "DENARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.