Individual provider Active NPI

Sha'Niya Vanessa Cagle, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1760167530
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019135 Issued in NC
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

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327000536 NC Practitioner - Clinical Social Worker 3779068846 Reassigns benefits to 1 organization

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
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

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

LicenseStateTypeSpecialty
C019271NCMDClinical Social Worker
P019135NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sparc Network Clinical PastSince Jun 25, 2023 Accepting new patients
Osh Mi Physicians Group, PC Past Accepting new patients
Osh-Mi Physicians Group PC Clinical PastSince Aug 25, 2019 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.

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

Verify at the official NPI Registry.