Amy Penal Shaleen, LICSW is a
Social Worker - Clinical based in Chisago City, Minnesota. Amy Penal Shaleen is licensed to practice in Minnesota (license number 16482) and her current practice location is
11725 Stinson Ave, Chisago City, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 257-7806.
NPI number for Amy Penal Shaleen is 1528512274 and her current mailing address is 11725 Stinson Ave, Chisago City, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528512274.
Healthcare Provider's Profile
Full Name | Amy Penal Shaleen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11725 Stinson Ave, Chisago City, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528512274
- Provider Enumeration Date: 08/11/2016
- Last Update Date: 08/11/2016
Medical Identifiers
Medical identifiers for Amy Penal Shaleen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528512274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 16482 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Penal Shaleen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Penal Shaleen, LICSW 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-7806 | Amy Penal Shaleen, LICSW 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-7806 |
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