Shannon G O'Brien is a Clinical in Milwaukee, Wisconsin. Shannon G O'Brien practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon G O'Brien is 1366529182. The last update date is 2011-03-07.
Shannon G O'Brien's current location address is 2821 N 4th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4142644217 and fax number 4142644218. The mailing address for Shannon G O'Brien is 2821 N 4th St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon G O'Brien |
|---|---|
| Address | 2821 N 4th St, Milwaukee, Wisconsin |
| Phone Number | 4142644217 |
| Fax Number | 4142644218 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1366529182 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 2821 N 4th St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532122362 |
| Phone Number | 4142644217 |
| Fax Number | 4142644218 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7197-123 |
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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 |
|---|---|---|---|
| 39397100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shannon G O'Brien by the Centers for Medicare & Medicaid Services?
The Shannon G O'Brien has been assigned the NPI (National Provider Identifier) 1366529182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Shannon G O'Brien?
The Shannon G O'Brien is physically situated at 2821 N 4Th St, in the city of Milwaukee, state of WI, with the postal code 532122362.
What is Shannon G O'Brien's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannon G O'Brien is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Shannon G O'Brien's 1366529182 issued?
The Shannon G O'Brien's 1366529182 was issued on 2006-11-01.
As of what date were the details pertaining to Shannon G O'Brien last refreshed?
The information related to the Shannon G O'Brien, including its address, specialty, and other relevant details, was last updated on 2011-03-07.