Provider Demographics
NPI:1861094526
Name:WHITE, SHAMEKA LAVONDA (MSW)
Entity type:Individual
Prefix:MISS
First Name:SHAMEKA
Middle Name:LAVONDA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11307 DUNBROOK RD APT 203
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3735
Mailing Address - Country:US
Mailing Address - Phone:804-840-8446
Mailing Address - Fax:
Practice Address - Street 1:11307 DUNBROOK RD APT 203
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3735
Practice Address - Country:US
Practice Address - Phone:804-840-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator