Shannon Stewart Enold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003933 Issued in VA

Practice address

48 MDG Sgohf
Unit 5210 Box 230
Apo, AE 09461
GB

Phone

(014) 416-3852

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sagework Solutions LLC

  • Clinical Social Worker
  • Keswick, VA
  • NPI 1962221234

  TX

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831249614",
    "addresses": [
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 41 BOX 3918",
            "city": "APO",
            "state": "AE",
            "postal_code": "09464"
        },
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "48 MDG SGOHF",
            "address_2": "UNIT 5210 BOX 230",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "014-416-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOLD",
        "first_name": "SHANNON",
        "middle_name": "STEWART",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.