Shanay Williams Payne

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

LC50082502 Issued in DC

Practice address

1200 1St St NE FL 9
Washington, DC 20002-7953

Phone

(518) 368-7310

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Destined Inspirations Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyattsville, MD
  • NPI 1023722485
  NPD Authorized official

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1831656404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953",
            "telephone_number": "518-368-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953",
            "telephone_number": "518-368-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Tadmore Ct Apt 201",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212348614",
            "country_code": "US",
            "telephone_number": "518-368-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS PAYNE",
        "first_name": "SHANAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19447",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50082502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W. Funderburk, MD Facs PC
• William Wendt Center for Loss and Healing
• Patricia William
• Lonnie Eugene Williams III
• Deirdre Michelle Williams Mercer
• Chuckia Shannon Williams Powell
• Jennifer Williams-Babcock
• Heavenlyoj Williams-Douglas
• Kelly Williams-El'Amin
• Keesha Marie Williams-Elliott, M.D.

• All providers in Washington, DC
• School Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.