Active NPI
Sha'Niya Vanessa Cagle, LCSWA
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P019135
- Practice address
- 5200 Park Rd Ste 218B
Charlotte, NC 28209-3650 - Phone
- (866) 700-1606
- Fax
- (866) 338-5921
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C019271 | NC | |
| Clinical Social Worker | 1041C0700X | P019135 | NC | Primary |
Addresses
Primary practice location
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Mailing address
PO Box 8879
Asheville, NC 28814-8879
Phone (828) 329-7264
Other practice location 1
4600 Capital Blvd
Raleigh, NC 27604-4478
Phone (919) 980-7008
Other practice location 2
1007 Summit Ave
Greensboro, NC 27405-7007
Phone (336) 200-7010
Other practice location 3
3416 Poole Rd
Ste 120
Raleigh, NC 27610-2918
Phone (919) 902-7366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009
3416 Poole Rd
Suite 120
Raleigh, NC 27610-2918
Phone (919) 902-7366
4600 Capital Blvd
Raleigh, NC 27604-4478
Phone (919) 980-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C019271 | NC | MD | Clinical Social Worker |
| P019135 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Clinical | Past | Accepting new patients |
| Osh Mi Physicians Group, PC | Past | Accepting new patients | |
| Osh-Mi Physicians Group PC | Clinical | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1760167530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8879",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288148879",
"telephone_number": "828-329-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 PARK RD STE 218B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093650",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921"
}
],
"practiceLocations": [
{
"address_1": "4600 Capital Blvd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276044478",
"country_code": "US",
"telephone_number": "919-980-7008",
"fax_number": "919-336-4528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1007 Summit Ave",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274057007",
"country_code": "US",
"telephone_number": "336-200-7010",
"fax_number": "704-710-8592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3416 Poole Rd",
"address_2": "Ste 120",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276102918",
"country_code": "US",
"telephone_number": "919-902-7366",
"fax_number": "984-202-2149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAGLE",
"first_name": "SHA'NIYA",
"middle_name": "VANESSA",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C019271",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P019135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.