Mr David W Shane, LCSW (ILLINOIS) is a
Social Worker - Clinical based in Shenandoah, Iowa. Mr David W Shane is licensed to practice in Illinois (license number 149.002871) and his current practice location is
512 S Fremont St, Orchard Corners 150-160, Shenandoah, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 246-0092.
NPI number for Mr David W Shane is 1811130792 and his current mailing address is 512 S Fremont St, Orchard Corners 150-160, Shenandoah, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811130792.
Healthcare Provider's Profile
Full Name | Mr David W Shane |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 512 S Fremont St, Shenandoah, Iowa |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811130792
- Provider Enumeration Date: 04/08/2009
- Last Update Date: 04/08/2009
Medical Identifiers
Medical identifiers for Mr David W Shane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811130792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.002871 (Illinois) | 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. Mr David W Shane 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 |
Mr David W Shane, LCSW (ILLINOIS) 512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 Ph: (712) 246-0092 | Mr David W Shane, LCSW (ILLINOIS) 512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 Ph: (712) 246-0092 |
Reviews and Comments