Active NPI
Shaunquisha Leary
- Clinical Social Worker
- Pittsboro, NC
National Provider Identifier
1962108878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P017801
- Practice address
- 288 East St
Pittsboro, NC 27312-9711 - Phone
- (919) 704-8449
- NPI assigned
- Feb 2, 2023
- Last updated
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | P017801 | NC | Primary |
Addresses
Primary practice location
288 East St
Pittsboro, NC 27312-9711
Mailing address
1611 Majesty Dr
Burlington, NC 27217-8734
Phone (252) 287-2432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351819323 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017801 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1962108878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 MAJESTY DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272178734",
"telephone_number": "252-287-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 EAST ST",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273129711",
"telephone_number": "919-704-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "SHAUNQUISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P017801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "351819323",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsboro, NC
- Katherine Amelia Lasater, PHARMD
- Laura a Collatz, DDS PA (Enchanting Smiles Family Dentistry)
- Laurel Health Care Company of Chatham North Carolina, Inc (The Laurels of Chatham)
- Laurel Health Care Company of Chatham North Carolina, Inc. (The Laurels of Chatham)
- Jazmin Laus, LMFTA
- Shannon Colleen Rose Leith, MSW, LCSW
- Stephanie Levin
- Brittany Lindsay, M.S.
- Mary Frances Linker, MSW, P-LCSW
- Edwina Odette Lizardo Orbe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.