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MS. SHAWANDALYN LATRELLE COOLEY LCSW
NPI 1376608653
Social Worker - Clinical in Jacksonville, NC

Active since December 27, 2006PECOS Enrolled
825 GUM BRANCH RD, SUITE 133, JACKSONVILLE, NC 28540(910) 346-6726(910) 346-8285 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shawandalyn Latrelle Cooley Lcsw NPPES

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

MS. SHAWANDALYN LATRELLE COOLEY LCSW (NPI 1376608653) is an individual clinical provider in Jacksonville, North Carolina, licensed in Virginia (0904009596) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376608653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHAWANDALYN LATRELLE COOLEYCredential: LCSW
Location Address825 GUM BRANCH RD, SUITE 133Jacksonville, NC 28540-6298
Mailing Address8040 Georgia Ave Ste 170Silver Spring, MD 20910-4959 · (202) 360-4787
Phone(910) 346-6726
Fax(910) 346-8285
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1376608653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904009596✔ Licensed in MD · 24269
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
825 GUM BRANCH RD, Jacksonville, NC 28540
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Other Identifiers 1

Medicaid8300057BNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shawandalyn Latrelle Cooley Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

CNC ACCESS INC
Community/Behavioral Health
825 GUM BRANCH RD, SUITE 133
JACKSONVILLE, NC 28540
Onslow County (800) 866-0860
PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, LLC
Clinic/Center (Physical Therapy)
825 GUM BRANCH RD, SUITE 127
JACKSONVILLE, NC 28540
Onslow County (910) 438-9701
CNC ACCESS INC
Community/Behavioral Health
825 GUM BRANCH RD, SUITE 133
JACKSONVILLE, NC 28540
Onslow County (800) 866-0860
MAXIM HABILITATION SERVICES, LLC
Day Training, Developmentally Disabled Services
825 GUM BRANCH RD, SUITE 112
JACKSONVILLE, NC 28540
Onslow County (910) 355-2757
MAXIM HEALTHCARE SERVICES, INC.
Home Health
825 GUM BRANCH RD, SUITE 109
JACKSONVILLE, NC 28540
Onslow County (910) 355-2757
CNC ACCESS INC
Community/Behavioral Health
825 GUM BRANCH RD, SUITE 133
JACKSONVILLE, NC 28540
Onslow County (800) 866-0860
CNC ACCESS INC
Community/Behavioral Health
825 GUM BRANCH RD, SUITE 133
JACKSONVILLE, NC 28540
Onslow County (800) 866-0860
LEEANNA RICE LCSWA
Social Worker (Clinical)
825 GUM BRANCH RD, SUITE 117
JACKSONVILLE, NC 28540
Onslow County (910) 939-5923

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 Shawandalyn Cooley's NPI number?

The NPI number for Shawandalyn Cooley is 1376608653. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Shawandalyn Cooley located?

Shawandalyn Cooley practices at 825 Gum Branch Rd Suite 133, Jacksonville, NC 28540. The listed phone number is (910) 346-6726.

What is Shawandalyn Cooley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shawandalyn Cooley enrolled in Medicare?

Yes. Shawandalyn Cooley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawandalyn Cooley was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.