Timothy C. Shaner, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000398 Issued in NC

Practice address

2224 Lacy St
Burlington, NC 27215-5341

Phone

(336) 228-0112

Fax

(336) 228-6994

NPI assigned

Jan 3, 2007

Sex

Male

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891852273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 LACY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155341",
            "telephone_number": "336-228-0112",
            "fax_number": "336-228-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 LACY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155341",
            "telephone_number": "336-228-0112",
            "fax_number": "336-228-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANER",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rumin M. Shah, DO
• Vipul S Shah, M.D.
• Melody N Shambley, C.N.M.
• Shamil J. Morayati, MD
• Elise A. Shaner, L.M.B.T.
• Sharon J Cobham DDS & Nicole Lecann DDS PA
• Sheila Childers Smith
• Shipman Family Home Care Inc.
• Shipman-Almanance
• Amanda Marie Shirley, FNP

• Clinical Social Worker in Burlington, NC
• Providers in Burlington, 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 Jul 8, 2007; 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.