Shanee M James

Key facts

NPI

1750889796

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

I.2103309 (OH)

Practice address

420 Polifka Dr BLDG 1042
Shaw Afb, SC 29152-5100

Phone

(803) 895-6199

Fax

(803) 895-6201

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Grow Healthcare Group PA Mental Health Counselor · Miami, FL · NPI 1245845932
  Medicare reassignment NPD CLINICAL · OH · SC
• Sondermind Provider Network LLC Clinical Social Worker · Denver, CO · NPI 1760854442
  Medicare reassignment NPD CLINICAL · OH
• Revamped Mental Health Clinical Social Worker · Elgin, SC · NPI 1336032671
  NPD Authorized official CLINICAL

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in OH, SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2026.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1750889796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 POLIFKA DR BLDG 1042",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525100",
            "telephone_number": "803-895-6199",
            "fax_number": "803-895-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 POLIFKA DR BLDG 1042",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525100",
            "telephone_number": "803-895-6199",
            "fax_number": "803-895-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SHANEE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103309",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2103309",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaw Afb, SC

• Kristie Lynette Griffin, LCSW, LISW CP
• Julie Griffith, M.D.
• Erin L Gunter, PHARMD
• Penny Lynn Hardin, MPH, MS, CHES
• Jaclyn C Hoffman, DNP, FNP
• Jesse Jenkins, PA-C
• Alayna Renee Jones, DMD
• Ryan R Landoll, PH.D.
• Jim Li
• Melissa Lincoln, PA-C

All providers in Shaw Afb, SC · Social Worker in South Carolina