Shakeena Yvette Speller, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010003 Issued in NC

Practice address

700 N Cannon Blvd
Kannapolis, NC 28083-3798

Phone

(980) 206-3722

Fax

(704) 731-7178

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Shakeena Yvette Riser Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rise Up Counseling & Consulting PLLC

  • Community/Behavioral Health Agency
  • Kannapolis, NC
  • NPI 1871033225
  Medicare reassignment NPD Authorized official
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306
  Medicare reassignment NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1871888370
  NPD

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1952735169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N CANNON BLVD STE 106",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833798",
            "telephone_number": "980-206-3722",
            "fax_number": "704-731-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833798",
            "telephone_number": "980-206-3722",
            "fax_number": "704-731-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLER",
        "first_name": "SHAKEENA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW,  LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2595",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sspeller@riseupcounseling.org",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 N Cannon Blvd",
            "city": "Kannapolis",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280833798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAKEENA",
            "last_name": "RISER",
            "middle_name": "YVETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Snyder, PHARMD
• Anette Solmaz, WHNP
• Solomon'S Laboratory and Genetic Testing, LLC
• Jacqueline B Sonceau, DDS
• Laquanya Leanne Spann
• Felicia Stanback
• Kalyani Vellanki Starr, D.D.S.
• Erika Anu Steinbacher, MD
• Sarah Kerley Stephens, PA-C, MPAS
• Jakob Dean Stewart, PHARMD

• Clinical Social Worker in Kannapolis, NC
• Providers in Kannapolis, 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 Sep 29, 2022; 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.