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CHAQUITA SHANTA SHANNON
NPI 1417151648
Social Worker - Clinical in Memphis, TN

Active since June 12, 2007
1689 NONCONNAH BLVD STE 100, MEMPHIS, TN 38132(901) 523-8990 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 14, 2021, Sep 9, 2021 (2 updates tracked since 2021).

About Chaquita Shanta Shannon NPPES

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

CHAQUITA SHANTA SHANNON (NPI 1417151648) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (7626) and active in the NPI registry since June 2007. She maintains a secondary practice location in Forrest City.

NPPES Registry Identity

NPI1417151648
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHAQUITA SHANTA SHANNON
Location Address1689 NONCONNAH BLVD STE 100Memphis, TN 38132-2111
Mailing Address2023 Kings Cross LnCordova, TN 38016-5179 · (662) 346-6570
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1417151648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 7626
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 7626 (TN)
1689 NONCONNAH BLVD STE 100, Memphis, TN 38132
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Secondary Practice Location 1

Location 11825 E Broadway StForrest City, AR 72335-3409 · Phone (870) 630-2328 · Fax (870) 630-2348

Other Identifiers 1

Other7626TN · Licensed Master Social Worker

Other Providers at the Same Location NPPES

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

BRITTNEY SCANTLING LCSW
Social Worker (Clinical)
1689 NONCONNAH BLVD STE 100
MEMPHIS, TN 38132
Shelby County (901) 523-8990

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 Chaquita Shannon's NPI number?

The NPI number for Chaquita Shannon is 1417151648. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Chaquita Shannon located?

Chaquita Shannon practices at 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132. The listed phone number is (901) 523-8990.

What is Chaquita Shannon's specialty?

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

When was this NPI record last updated?

The NPPES record for Chaquita Shannon was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.