Healthcare Provider Details

I. General information

NPI: 1922994748
Provider Name (Legal Business Name): SHAMIKA YOLANDA POMPEY MSW, LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 JUNCTION RD
MOCKSVILLE NC
27028-5324
US

IV. Provider business mailing address

1116 JUNCTION RD
MOCKSVILLE NC
27028-5324
US

V. Phone/Fax

Practice location:
  • Phone: 336-909-3329
  • Fax:
Mailing address:
  • Phone: 336-791-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024053
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: