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DR. SHANIQUA LESESNE LISW-CP, EDD
NPI 1225383102
Counselor - Mental Health in Sumter, SC

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shaniqua Lesesne Lisw-cp, Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANIQUA LESESNE LISW-CP, EDD (NPI 1225383102) is an individual mental health provider in Sumter, South Carolina and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225383102
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHANIQUA LESESNECredential: LISW-CP, EDD
Location Address15 BROAD STSumter, SC 29150-4224
Mailing Address1196 Saltcedar LnManning, SC 29102-7543 · (803) 460-6694
Phone(803) 902-5929
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2012
Last NPPES UpdateNovember 24, 2023
NPPES CertifiedNovember 24, 2023
✔ NPI 1225383102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15 BROAD ST, Sumter, SC 29150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaniqua Lesesne Lisw-cp, Edd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355877184
PECOS Enrollment IDI20241219003652
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shaniqua Lesesne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renewed Image Youth & Family Services, LLC
Same address
Clinical
15 BROAD ST
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1962277541 (803) 902-5929
Grow Healthcare Group PA
562 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISHA MCCLARY-HERMITT
Social Worker
15 BROAD ST
SUMTER, SC 29150
Sumter County (803) 902-5929
LADOSHIA SINKLER
Social Worker
15 BROAD ST
SUMTER, SC 29150
Sumter County (803) 902-5929
RENEWED IMAGE YOUTH & FAMILY SERVICES, LLC
Social Worker (Clinical)
15 BROAD ST
SUMTER, SC 29150
Sumter County (803) 902-5929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaniqua Lesesne's NPI number?

The NPI number for Shaniqua Lesesne is 1225383102. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Shaniqua Lesesne located?

Shaniqua Lesesne practices at 15 Broad St, Sumter, SC 29150. The listed phone number is (803) 902-5929.

What is Shaniqua Lesesne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shaniqua Lesesne enrolled in Medicare?

Yes. Shaniqua Lesesne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shaniqua Lesesne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaniqua Lesesne reassigns Medicare benefits to 2 organizations: Renewed Image Youth & Family Services, LLC (Sumter, SC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaniqua Lesesne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaniqua Lesesne accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Cigna Healthcare and 1 other insurer list Shaniqua Lesesne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaniqua Lesesne was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.