Provider Demographics
NPI:1558235374
Name:FONEY, SHAKELRA (LMSW)
Entity type:Individual
Prefix:
First Name:SHAKELRA
Middle Name:
Last Name:FONEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 CHARLOTTE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2219
Mailing Address - Country:US
Mailing Address - Phone:615-873-6497
Mailing Address - Fax:
Practice Address - Street 1:1919 CHARLOTTE AVE STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2219
Practice Address - Country:US
Practice Address - Phone:615-873-6497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN97471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical