Shon D George, LMSW, MA, MDIV

Primary specialty

Social WorkerTaxonomy code 104100000X

License

Q3-0010656 Issued in DE

Practice address

508 W Chestnut Ridge Dr
Magnolia, DE 19962-1662

Phone

(302) 222-6831

NPI assigned

Dec 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1619637550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W CHESTNUT RIDGE DR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199621662",
            "telephone_number": "302-222-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W CHESTNUT RIDGE DR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199621662",
            "telephone_number": "302-222-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHON",
        "middle_name": "D",
        "credential": "LMSW, MA, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0010656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "508 W Chestnut Ridge Dr",
            "city": "Magnolia",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199621662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shantel Harden
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• Ashley Samantha Hewish, REGISTERED NURSE
• Kristen Anne Holloway

• Social Worker in Magnolia, DE
• Providers in Magnolia, DE by specialty
• Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.