Shawnda Ellaine Thurmond, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1700687 Issued in OH

Practice address

1791 Alum Creek Dr
Columbus, OH 43207-1708

Phone

(614) 445-8131

Fax

(614) 545-0232

NPI assigned

Aug 3, 2017

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 names 1

• Shawnda Ellain Hicks Former name

Medicare fee-for-service enrollment

Enrolled in OH

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Whitehall Cap Inc

  • Mental Health Counselor
  • Reynoldsburg, OH
  • NPI 1093366148
  Medicare reassignment NPD
• Whitehall Cap Inc

  • Counselor
  • Reynoldsburg, OH
  • NPI 1932619970
  NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1659895324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 TRIBUTARY LN",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689434",
            "telephone_number": "614-592-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131",
            "fax_number": "614-545-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "SHAWNDA",
        "middle_name": "ELLAINE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNDA",
            "last_name": "HICKS",
            "middle_name": "ELLAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley M Thurman, PTA
• Melaney Thurman
• Iverie Thurmond
• Mahogany O Thurmond, CDCA
• Seallena Thurmond, RN
• Jeffrey B. Thurston, D.O.
• Tabitha Thurston, CDCA
• Nancy Tian, MD
• Sarah Tiba
• Kia Shana Tibbets, BSW, LSW

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.