Shonna Vance, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21378 Issued in TX

Practice address

1112 Jordan St
Longview, TX 75602-2232

Phone

(903) 399-1086

NPI assigned

Aug 26, 2021

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1962179820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 TRYON RD # 1054",
            "city": "JUDSON",
            "state": "TX",
            "postal_code": "756605048",
            "telephone_number": "903-399-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 JORDAN ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756022232",
            "telephone_number": "903-399-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SHONNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "21378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Van Ert, NNP
• Sarah Kristine Van Reenen, FNP
• Donald Joe Van Sandt, O.D.
• Stephanie Vana
• Jamie G. Vanbiber, MAMFT, LPC
• Matthew T Vander Woude, D.O.
• Lisa Jill Vandiemen, FNP
• Paige Therese Vanmeter
• Mary Lynn Vassar, RD
• Christin Vaughan, PHARMD

• Clinical Social Worker in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.