Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanise Wooten

Individual provider Social Worker · NPI 1013691054

Shanise Wooten is a Social Worker in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

135 Bradford Sq Ste A
Fayetteville, GA 30215-1902
Phone: (404) 834-1001
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 011147 (GA)

Record details

NPI number1013691054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address560 Jake Trl, Jonesboro, GA 30238-8617

Other providers in Fayetteville