Shaneeka L Moore, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO22235 Issued in NC

Practice address

1003 12TH St
Butner, NC 27509-1626

Phone

(919) 575-7148

NPI assigned

Oct 9, 2025

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1861367724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 HOMECOMING WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036569",
            "telephone_number": "919-575-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 12TH ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091626",
            "telephone_number": "919-575-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANEEKA",
        "middle_name": "L",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO22235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Mitchell, PHARMD.
• Joseph Cameron Mitchell, PHARM.D.
• Lelia Ann Mitchener, PHARMD
• Kathryn M Moore, PHARMD
• Richard Earl Moore Jr., PHARMD
• More Than Conquerors Youth Center Inc.
• Holly Morgan, MSW
• Stephanie Moss, LPA
• Murdoch Developmental Center
• Murdoch Developmental Center

• Clinical Social Worker in Butner, NC
• Providers in Butner, 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 Oct 9, 2025; 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.