Mrs Mary Juanita Shakes, LCSW is a
Social Worker - Clinical based in Demopolis, Alabama. Mrs Mary Juanita Shakes is licensed to practice in Mississippi (license number 0113C) and her current practice location is
205 Herbert Street, Demopolis, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 341-7400.
NPI number for Mrs Mary Juanita Shakes is 1083785182 and her current mailing address is P.o. Box 1127, Demopolis, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083785182.
Healthcare Provider's Profile
| Full Name | Mrs Mary Juanita Shakes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 205 Herbert Street, Demopolis, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083785182
- Provider Enumeration Date: 11/11/2006
- Last Update Date: 08/24/2011
Medical Identifiers
Medical identifiers for Mrs Mary Juanita Shakes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083785182 | NPI | - | NPPES |
| P00408326 | Other | MS | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 0113C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | C7264 (Mississippi) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0113C (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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. Mrs Mary Juanita Shakes 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 |
|---|
Mrs Mary Juanita Shakes, LCSW
P.o. Box 1127,
Demopolis, AL 36732
Ph: (334) 341-7400 | Mrs Mary Juanita Shakes, LCSW
205 Herbert Street,
Demopolis, AL 36732
Ph: (334) 341-7400 |
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