Katie B Shannon is a Clinical in Williston, North Dakota. Katie B Shannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katie B Shannon is 1295862621. The last update date is 2022-01-11.
Katie B Shannon's current location address is 2224 1st Ave W Ste 4, Williston, North Dakota. You can contact this provider via phone number 7015723335 and fax number 7015723337. The mailing address for Katie B Shannon is 2224 1st Ave W Ste 4, Williston, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie B Shannon |
|---|---|
| Address | 2224 1st Ave W Ste 4, Williston, North Dakota |
| Phone Number | 7015723335 |
| Fax Number | 7015723337 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295862621 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 2224 1st Ave W Ste 4 |
|---|---|
| City | Williston |
| State | North Dakota (ND) |
| Post Code | 588016286 |
| Phone Number | 7015723335 |
| Fax Number | 7015723337 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3671 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54516 | ND | -- | |
| 27774 | ND | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Katie B Shannon's 1295862621?
The Katie B Shannon's NPI (National Provider Identifier) Number is 1295862621. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Katie B Shannon's physical address?
The Katie B Shannon is physically located at 2224 1St Ave W Ste 4, in the city of Williston, ND, with the postal code 588016286.
What is Katie B Shannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Katie B Shannon is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Katie B Shannon's 1295862621 issued?
The Katie B Shannon's 1295862621 was issued on 2007-02-27.
As of what date was the information regarding Katie B Shannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katie B Shannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-11.