Provider Demographics
NPI:1487104709
Name:CLAIBORNE, SHONDRICKA
Entity type:Individual
Prefix:
First Name:SHONDRICKA
Middle Name:
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 S EUGENE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5471
Mailing Address - Country:US
Mailing Address - Phone:504-377-8411
Mailing Address - Fax:
Practice Address - Street 1:623 S EUGENE ST
Practice Address - Street 2:APT 1
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5471
Practice Address - Country:US
Practice Address - Phone:504-377-8411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health