Shaquesha D Campbell, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015878 Issued in NC

Practice address

8705 Creek Trail LN Apt 513
Cornelius, NC 28031-6554

Phone

(984) 204-3990

NPI assigned

May 5, 2021

Last updated

May 5, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Well Therapy PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1235389248
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1841873916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 CREEK TRAIL LN APT 513",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316554",
            "telephone_number": "984-204-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 CREEK TRAIL LN APT 513",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316554",
            "telephone_number": "984-204-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHAQUESHA",
        "middle_name": "D",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valorie Stewart Byrd, FNP-C
• Dona H Caine-Francis, MSN
• Keanna Caldwell
• Terry Edward Callison, D.D.S., M.S.
• Kenneth Ryan Camilli, PHARM.D.
• Staci Campbell
• Grayson Neely Capps
• Jullee Lorraine Capshaw, LCMHC
• Carol Armstrong, Psy.D., PLLC
• Carolina Chiropractic & Wellness Center

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.