Shenika Lavonda Whitaker-Carlos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008931 Issued in VA

Practice address

4118 E Parham Rd Ste a
Richmond, VA 23228-2742

Phone

(804) 591-0002

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aspect Counseling and PsychiatryGroup PAC ID 1153842687, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aspect Counseling and Psychiatry

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1184431835
  Medicare reassignment Care Compare group NPD
• Discovery Counseling and Consulting LLC

  • Multi-Specialty Clinic/Center
  • Henrico, VA
  • NPI 1831475045
  NPD
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1609412246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 COMMONS PLZ # 249",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326457",
            "telephone_number": "804-503-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 E PARHAM RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282742",
            "telephone_number": "804-591-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER-CARLOS",
        "first_name": "SHENIKA",
        "middle_name": "LAVONDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlosprin.3@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4118 E Parham Rd Ste A",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232282742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Christofer Wheeler, DO
• James F Whelan, M.D.
• Weahdee Blidee Whenda
• Amy Nicole Whiffin, MD
• Mary Mason Whipp, LCSW
• Damond Whitaker, NP
• Joyce Lafon Whitaker, MD
• Sarah Tavenner Whitaker
• Tracy Lee Whitaker, LCSW
• Jaida White-Diaz

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.