Active NPI
Shirah Tolliver, MSW
- Social Worker
- Monroe, LA
National Provider Identifier
1770935850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1660
- Practice address
- 645 Highway 80 E
Monroe, LA 71203-8527 - Phone
- (318) 343-8744
- NPI assigned
- Jul 12, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Social Worker | 104100000X | 1660 | LA | Primary |
Addresses
Primary practice location
645 Highway 80 E
Monroe, LA 71203-8527
Mailing address
1810 N McGuire Ave
Monroe, LA 71203-3422
Phone (318) 801-5771
Other practice location 1
1810 N McGuire Ave
Monroe, LA 71203-3422
Phone (318) 801-5771
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1770935850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 N MCGUIRE AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712033422",
"telephone_number": "318-801-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 HIGHWAY 80 E",
"city": "MONROE",
"state": "LA",
"postal_code": "712038527",
"telephone_number": "318-343-8744"
}
],
"practiceLocations": [
{
"address_1": "1810 N McGuire Ave",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712033422",
"country_code": "US",
"telephone_number": "318-801-5771",
"fax_number": "318-600-6095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLLIVER",
"first_name": "SHIRAH",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "1660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.