MRS. SHAWNATA TETA HAYWOOD LCPC
NPI 1396476925
Counselor - Professional in Salisbury, MD
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Shawnata Haywood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princess Anne, MD 21853
- Reassigned Medicare billing, Maryland enrollment
- 121 clinicians in this Medicare group
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.
SALISBURY, MD 21801
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.
Which organization bills Medicare for Shawnata Haywood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawnata Haywood reassigns Medicare benefits to Three Lower Counties Community Services, Inc. (Princess Anne, MD). The 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 Shawnata Haywood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Mrs. Shawnata Teta Haywood, LCPC · NPI 1396476925
Professional provider in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1396476925 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC15248 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 659 S SALISBURY BLVD STE 3, Salisbury, MD 21801-5462
- **Phone:** (802) 857-0400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Three Lower Counties Community Services, Inc. (NPI 1154354744, Princess Anne, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 25, 2026
- **Other identifiers:** Medicaid 119591300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1396476925) · Data from the CMS NPPES public registry.