Individual provider Active NPI

Sheanette S Drake, LCSW

  • Clinical Social Worker
  • Thomson, GA
National Provider Identifier
1609500875
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008143 Issued in GA
Practice address
1025 Warrenton Hwy Ste a
Thomson, GA 30824-8061
Phone
(478) 456-5863
Fax
(762) 309-4267
NPI assigned
Jul 13, 2022
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008143 GA Primary

Addresses

Primary practice location

1025 Warrenton Hwy Ste a
Thomson, GA 30824-8061

Mailing address

368 Norwood Camak Rd
Norwood, GA 30821-5919
Phone (478) 456-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW008143GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Is Unique Counseling Services LLC Clinical CurrentSince Feb 19, 2023 Accepting new patients

Locations

1025 Warrenton Hwy
Ste A
Thomson, GA 30824
Phone (478) 456-5863

Organizations & group practices 1

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1609500875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 NORWOOD CAMAK RD",
            "city": "NORWOOD",
            "state": "GA",
            "postal_code": "308215919",
            "telephone_number": "478-456-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WARRENTON HWY STE A",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248061",
            "telephone_number": "478-456-5863",
            "fax_number": "762-309-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "SHEANETTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.