DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1144672601

NPI Code Detail

MEDICARE: SHAWNEE NEAL LCSW, LAC

MEDICARE: SHAWNEE NEAL LCSW, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	TLS.1128.CP	SC
2	1041C0700X	Clinical Social Worker	C016057	NC
3	1041C0700X	Clinical Social Worker	CSW.09924939	CO
4	1041C0700X	Clinical Social Worker	2017035177	MO
5	1041C0700X	Clinical Social Worker	149.020643	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5630261	OTHER		CIGNA
4	21205	OTHER		MORNEAU SHEPELL
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144672601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNEE NEAL LCSW, LAC

Provider Business Mailing Address
First Line	:	7014 SMITH CORNERS BLVD # 1198
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3793
Country	:	US
Telephone Number	:	314-516-3718
Fax Number	:	314-648-2847

Provider Business Practice Location Address
First Line	:	7014 SMITH CORNERS BLVD # 1198
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3793
Country	:	US
Telephone Number	:	314-516-3718
Fax Number	:	314-648-2847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2016
Last Update Date	:	11/05/2025

Similar Medicare Providers

1770615114 — PROMED HEALTHCARE, PLLC
Practice Location Address:

7004 SMITH CORNERS BLVD , SUITE A
CHARLOTTE, NC
28269-3793

Practice Phone: 704-688-9650
Practice Fax: 704-688-9651

1053390856 — JOSEPH S WOLYNIAK DO
Practice Location Address:

7004 SMITH CORNERS BLVD , SUITE A
CHARLOTTE, NC
28269-3793

Practice Phone: 704-688-9650
Practice Fax: 704-688-9651

1942262001 — MRS. JAMIE ALISSA FLOYD PA-C
Practice Location Address:

7004 SMITH CORNERS BLVD , SUITE A
CHARLOTTE, NC
28269-3793

Practice Phone: 704-688-9650
Practice Fax: 704-688-9651

1164549408 — LISA MARIE MILLER PT
Practice Location Address:

7014 SMITH CORNERS BLVD. , #1153
CHARLOTTE, NC
28269-3793

Practice Phone: 704-649-4177
Practice Fax: 704-649-4177

1750572368 — PROMED HEALTHCARE, PLLC
Practice Location Address:

7004 SMITH CORNERS BLVD , SUITE A
CHARLOTTE, NC
28269-3793

Practice Phone: 704-688-9650
Practice Fax: 704-688-9651

1598181885 — PROMED PRIMARY AND EXPRESS CARE PLLC
Practice Location Address:

7004 SMITH CORNERS BLVD , STE A
CHARLOTTE, NC
28269-3793

Practice Phone: 704-688-9650
Practice Fax: 704-688-9651

Directions to “ SHAWNEE NEAL LCSW, LAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.