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NPI Code Detail

MEDICARE: SHA'NIYA VANESSA CAGLE LCSWA

MEDICARE:   SHA'NIYA VANESSA CAGLE  LCSWA
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
11041C0700XClinical Social WorkerC019271NC
21041C0700XClinical Social WorkerP019135NC

General Provider Information

NPI Number : 1760167530
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHA'NIYA VANESSA CAGLE LCSWA
Provider Business Mailing Address
First Line : PO BOX 8879
Second Line :
City : ASHEVILLE
State : NC
Zip : 28814-8879
Country : US
Telephone Number : 828-329-7264
Fax Number :
Provider Business Practice Location Address
First Line : 5200 PARK RD STE 218B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3650
Country : US
Telephone Number : 866-700-1606
Fax Number : 866-338-5921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 03/12/2026

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Directions to “ SHA'NIYA VANESSA CAGLE LCSWA” Practice Location

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