Individual provider Active NPI

Shashanah Ward, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1649521790
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008511 Issued in NC
Practice address
3460 Wilbury Cir Apt 836
Charlotte, NC 28262-6911
Phone
(252) 347-1519
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 C008511 NC Primary

Addresses

Primary practice location

3460 Wilbury Cir Apt 836
Charlotte, NC 28262-6911

Mailing address

3501 Griffice Mill Rd
Raleigh, NC 27610-8643
Phone (252) 347-1519

Other practice location 1

5868 Faringdon Pl
Raleigh, NC 27609-3931
Phone (252) 347-1519

Other practice location 2

17307 Musselburgh Dr
Cary, NC 27518-6976
Phone (252) 347-1519

Other practice location 3

3501 Griffice Mill Rd
Raleigh, NC 27610-8643
Phone (252) 347-1519

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Psychiatry, PLLC PastSince Nov 9, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1649521790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 GRIFFICE MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276108643",
            "telephone_number": "252-347-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WILBURY CIR APT 836",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626911",
            "telephone_number": "252-347-1519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5868 Faringdon Pl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276093931",
            "country_code": "US",
            "telephone_number": "252-347-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17307 Musselburgh Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275186976",
            "country_code": "US",
            "telephone_number": "252-347-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Griffice Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276108643",
            "country_code": "US",
            "telephone_number": "252-347-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHASHANAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.