Active NPI
Shellye Lerene Sledge, LCSW
- Clinical Social Worker
- Chesapeake, VA
National Provider Identifier
1912436239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27622
- Practice address
- 1434 Crossways Blvd
Chesapeake, VA 23320-3360 - Phone
- (619) 846-8498
- Fax
- (619) 846-8498
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW27622 | CA | Primary |
Addresses
Primary practice location
1434 Crossways Blvd
Chesapeake, VA 23320-3360
Mailing address
400 S Military Hwy Apt 2203
Virginia Beach, VA 23464-1892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW27622 | CA | MD | Clinical Social Worker |
| 27622 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1912436239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S MILITARY HWY APT 2203",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234641892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 CROSSWAYS BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203360",
"telephone_number": "619-846-8498",
"fax_number": "619-846-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "SHELLYE",
"middle_name": "LERENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW27622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.