Healthcare Provider Details

I. General information

NPI: 1861094526
Provider Name (Legal Business Name): SHAMEKA LAVONDA WHITE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 LEYTONSTONE DR UNIT 350
CHESAPEAKE VA
23321-2487
US

IV. Provider business mailing address

2626 LEYTONSTONE DR UNIT 350
CHESAPEAKE VA
23321-2487
US

V. Phone/Fax

Practice location:
  • Phone: 804-840-8446
  • Fax:
Mailing address:
  • Phone: 804-840-8446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: