P Praxis·MD
● Active Type 1 · Individual

Shanise Wooten

Social Worker·Fayetteville, GA· NPI 1013691054 · Enumerated 2023 · 2 years on NPI
Wooten is 1 of 6 social worker providers in Fayetteville and 1 of 2137 in Georgia.
NPI age
2 years
Enumerated 2023-06-12
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2137 active social worker providers in Georgia.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
135 Bradford Sq Ste A
Fayetteville, GA 302151902
📞 4048341001
Mailing address
560 Jake Trl
Jonesboro, GA 302388617
📞 4048341001

Specialties

  • Social Worker Primary
    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...
    GA license #011147 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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