Doctor profile · Federal record

Dr. Shawandalyn Cooley, LCSW

Clinical Social Worker · Clinical Social Worker · Jacksonville, NC

  • NPI 1376608653
  • 20 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
825 Gum Branch RD, Suite 133
Jacksonville, NC 285406298
(910) 346-6726
fax (910) 346-8285
Additional location
4250 Fairfax Dr Ste 600
Arlington, VA 222031665
(202) 360-4787
fax (202) 360-4787
Additional location
8040 Georgia Ave Ste 170
Silver Spring, MD 209104959
(202) 360-4787
fax (202) 360-4787
Mailing address
8040 Georgia Ave Ste 170
Silver Spring, MD 209104959

Credentials & registration

NPPES · NUCC
NPI registered
December 2006 — 20 yrs on file
Profile last updated
July 24, 2025
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Virginia #0904009596 · Maryland #24269
Medicaid
NC #8300057B

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1376608653. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
105
Distinct HCPCS
1
Medicare allowed
$7,432
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 105 13 $71

In context: peer comparison

Among 7 peers in Jacksonville Clinical Social Worker, average services per provider: 115. This provider delivers 0.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Shawandalyn Cooley's medical specialty?
Dr. Shawandalyn Cooley practices Clinical Social Worker in Jacksonville, NC.
Where does Dr. Shawandalyn Cooley practice?
Dr. Shawandalyn Cooley practices at 825 Gum Branch RD, Jacksonville, NC 285406298. Office phone: 9103466726.
What is Dr. Shawandalyn Cooley's NPI?
Dr. Shawandalyn Cooley's National Provider Identifier (NPI) is 1376608653, issued by NPPES.
What procedures does Dr. Shawandalyn Cooley commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834). Source: CMS Medicare Physician & Other Practitioners file.