Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawtay D Reese, LCSW, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245674605

Shawtay D Reese, LCSW, LCAS is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625
Phone: (919) 432-5781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 S Bragg St Ste 3, Warrenton, NC 27589-2048 — (919) 559-2692

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C008240 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C008240 (NC)

Record details

NPI number1245674605
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAS
Sole proprietorYes
NPI enumeratedApril 29, 2013
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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