SHAWNTEAL NICOLE PERNELL LMSW
NPI 1861857799
Social Worker in Dearborn, MI

Q: What is Shawnteal Pernell's NPI number?

The NPI number for Shawnteal Pernell is 1861857799. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Q: What is Shawnteal Pernell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shawnteal Pernell was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 18, 2015PECOS Enrolled

1 PARKLANE BLVD, SUITE 1210E, DEARBORN, MI 48126(313) 283-8661 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2018, Dec 19, 2015 (2 updates tracked since 2015).

On this page

About Shawnteal Nicole Pernell Lmsw NPPES

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

SHAWNTEAL NICOLE PERNELL LMSW (NPI 1861857799) is an individual social worker in Dearborn, Michigan, licensed in Michigan (6801090355) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861857799

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHAWNTEAL NICOLE PERNELLCredential: LMSW

Location Address1 PARKLANE BLVD, SUITE 1210EDearborn, MI 48126-2400

Mailing Address20529 Charlton Sq, 201Southfield, MI 48076-4061

Phone(313) 283-8661

Sole ProprietorYes

Enumeration DateDecember 18, 2015

Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration

✔ NPI 1861857799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801090355

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801090355 (MI)

1 PARKLANE BLVD, Dearborn, MI 48126

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnteal Nicole Pernell Lmsw 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.

Other Providers at the Same Location NPPES 7

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

BREANNA WISE

Student in an Organized Health Care Education/Training Program