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SHONA WELLNESS GROUP LLC NPI 1366806184


NPI Information

NPI: 1366806184
Provider Name: SHONA WELLNESS GROUP LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1030 KEARNY ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 431-1682
Get Directions

SHONA WELLNESS GROUP LLC is a clinical social worker in Washington, DC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SHONA WELLNESS GROUP LLC NPI is 1366806184. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1030 KEARNY ST NE
WASHINGTON, DC
ZIP 20017-518
Phone: (202) 431-1682

The provider's authorized official is Lisa C Campbell .
The authorized official title is Social Worker and has the following contact phone number (202) 431-1682.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)200-1064DISTRICT OF COLUMBIANo
2101YP2500XCounselorProfessionalPRC293DISTRICT OF COLUMBIANo
31041C0700XSocial WorkerClinicalLC50080073DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326475492MEDICAIDDISTRICT OF COLUMBIA
21326468950MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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