Selina Shanks

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5911 Issued in MS

Practice address

232 Market St Ste 228
Flowood, MS 39232-3339

Phone

(601) 460-0730

NPI assigned

Aug 7, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740699370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SWAN LAKE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392125337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST STE 228",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "601-460-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Swan Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392125337",
            "country_code": "US",
            "telephone_number": "601-454-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "SELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sessoms Therapeutic Counseling and Consulting Services, LLC
• Shonda Monique Sessoms, LPC
• Tatum Lee Severino I, DNP, FNP-C
• Karen B. Shackelford, MD
• Lillian Leigh Shank, FNP-BC
• Angela B. Shannon, M.D.
• Ramin Shariati, MD
• Anna Clair Sharp, PMHNP-BC
• Miriam J. Shatley, M.D.
• Erica Shaw Wooten, PTA

• Clinical Social Worker in Flowood, MS
• Providers in Flowood, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.