Shariske D Thomas, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW006784 Issued in GA

Practice address

432 US Highway 80 W
Pooler, GA 31322-2510

Phone

(912) 349-2969

Fax

(912) 349-2983

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Serenity Consultants, LLC

  • Clinical Social Worker
  • Pooler, GA
  • NPI 1437658762
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1831696145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEERWOOD CT",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135307",
            "telephone_number": "912-532-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 US HIGHWAY 80 W",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222510",
            "telephone_number": "912-349-2969",
            "fax_number": "912-349-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHARISKE",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "MSW006784",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Wisdom Nest LLC
• Nicholas Theodotou, BDS, DDS
• Aaliyah Janae Thomas
• Brielle Thomas
• Mikki Thomas, LAPC
• Tyree Jarell Thomas
• Cassaundra Thompson, LPC
• Kelli Marie Thompson
• Kristan Anne Thompson, APRN
• Lauren Thompson

• Social Worker in Pooler, GA
• Providers in Pooler, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.