Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHAWNATA TETA HAYWOOD LCPC
NPI 1396476925
Counselor - Professional in Salisbury, MD

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
659 S SALISBURY BLVD STE 3, SALISBURY, MD 21801(802) 857-0400 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shawnata Teta Haywood Lcpc NPPES

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

MRS. SHAWNATA TETA HAYWOOD LCPC (NPI 1396476925) is an individual professional provider in Salisbury, Maryland, licensed in Maryland (LC15248) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396476925
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHAWNATA TETA HAYWOODCredential: LCPC
Location Address659 S SALISBURY BLVD STE 3Salisbury, MD 21801-5462
Mailing Address10 W Market St Ste 2900Indianapolis, IN 46204-2964 · (802) 857-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2022
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1396476925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC15248
659 S SALISBURY BLVD STE 3, Salisbury, MD 21801

Other Names 1

Former Name (1)Ms. Shawnata Teta Haywood Lcpc

Other Identifiers 1

Medicaid119591300MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shawnata Teta Haywood Lcpc 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 ID7214473560
PECOS Enrollment IDI20240723000670
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
659 S SALISBURY BLVD STE 3
SALISBURY, MD 21801
Nurse Practitioner (Family)
659 S SALISBURY BLVD STE 3
SALISBURY, MD 21801

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 Shawnata Haywood's NPI number?

The NPI number for Shawnata Haywood is 1396476925. It was assigned to this individual provider in the NPPES registry on June 23, 2022. The provider is also known as Ms. Shawnata Teta Haywood Lcpc.

Where is Shawnata Haywood located?

Shawnata Haywood practices at 659 S Salisbury Blvd Ste 3, Salisbury, MD 21801. The listed phone number is (802) 857-0400.

What is Shawnata Haywood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shawnata Haywood enrolled in Medicare?

Yes. Shawnata Haywood 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.

When was this NPI record last updated?

The NPPES record for Shawnata Haywood was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.