Individual provider Active NPI

Shalome Saida Hancox-Palomo, LCSW

  • Clinical Social Worker
  • Lawton, OK
National Provider Identifier
1962748822
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52270 Issued in TX
Practice address
713 SW Gaylord Ave
Lawton, OK 73505-7424
Phone
(325) 665-6125
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 0904007739 VA
Clinical Social Worker 1041C0700X 52270 TX Primary

Addresses

Primary practice location

713 SW Gaylord Ave
Lawton, OK 73505-7424

Mailing address

4300 Declaration Dr
Apt B
Yorktown, VA 23692-2638
Phone (325) 665-6125

Other names 1

  • Shalome Saida Hancox Former name

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

LicenseStateTypeSpecialty
52270TXMDClinical Social Worker
0904007739VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1962748822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 DECLARATION DR",
            "address_2": "APT B",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922638",
            "telephone_number": "325-665-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 SW GAYLORD AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057424",
            "telephone_number": "325-665-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOX-PALOMO",
        "first_name": "SHALOME",
        "middle_name": "SAIDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007739",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALOME",
            "last_name": "HANCOX",
            "middle_name": "SAIDA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.