Active NPI
Cecily Shawkey, LCSWA
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1700633286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020275
- Practice address
- 3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002 - Phone
- (704) 874-9005
- Fax
- (704) 874-9001
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020275 | NC | Primary |
Addresses
Primary practice location
3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904
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
| License | State | Type | Specialty |
|---|---|---|---|
| P020275 | NC | MD | Clinical Social Worker |
Interoperability endpoints
- cshawkey690105@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1700633286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 RIVERWOOD PKWY STE B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280566002",
"telephone_number": "704-874-9005",
"fax_number": "704-874-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWKEY",
"first_name": "CECILY",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.