Shauntay Denise Alexander, LMSW, LADAC II

Individual provider Active NPI Social Worker · Memphis, TN

NPI 1801417829 · NPPES record last updated Apr 30, 2020

Key facts

NPI
1801417829
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
10323 (TN)
Practice address
1331 Union Ave Ste 1000
Memphis, TN 38104-3513
Phone
(901) 426-9357
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10323TNMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10323 TN Yes

Addresses

Primary practice location

1331 Union Ave Ste 1000
Memphis, TN 38104-3513

Mailing address

50 Cypress Point Rd
Oakland, TN 38060-4661
Phone (901) 633-4762

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL shauntay.alexander@storyofyourlifeccs.com

Other providers in Memphis, TN

All providers in Memphis, TN · Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.