Shambri Lenee Perry Myers, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010420 Issued in VA

Practice address

4560 South Blvd Ste 300
Virginia Beach, VA 23452-1160

Phone

(757) 228-5635

Fax

(757) 223-0327

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dandelion Homes Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chesapeake, VA
  • NPI 1669149498
  NPD Authorized official

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1659859940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 HOLLY GLEN DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233254691",
            "telephone_number": "757-417-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SOUTH BLVD STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521160",
            "telephone_number": "757-228-5635",
            "fax_number": "757-223-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHAMBRI",
        "middle_name": "LENEE PERRY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SUBSTANCE ABUSE COUNSELOR",
            "identifier": "0710103052",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "0904010420",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brande Sue Myers, LCSW
• Eulamae Rutledge Myers
• Hailey Myers, OTR/L
• Sarah Myers, BCBA
• Sarah Taylor Myers, PHARM.D.
• Taylor C Myers
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Claire Vanessa Myles, CERTIFIED LIFE COACH

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jul 30, 2018; 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.