Shane Johnson, | |
85 Sangers Ln, Staunton, VA 24401-6712 | |
(540) 213-7566 | |
(540) 887-3245 |
Full Name | Shane Johnson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 85 Sangers Ln, Staunton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063160620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904013744 (Virginia) | Primary |
Entity Name | Valley Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649205212 PECOS PAC ID: 3678466398 Enrollment ID: O20040205001215 |
Mailing Address | Practice Location Address |
---|---|
Shane Johnson, 85 Sangers Ln, Staunton, VA 24401-6712 Ph: (540) 213-7566 | Shane Johnson, 85 Sangers Ln, Staunton, VA 24401-6712 Ph: (540) 213-7566 |
Ms. Mary Ann Kiernan-stern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119c W.frederick St., Staunton, VA 24401 Phone: 703-966-4453 | |
Ms. Elizabeth G Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 | |
Robin J Carver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 Fax: 540-887-3240 | |
Miss Sara E Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Business Way, Staunton, VA 24401 Phone: 540-886-5777 Fax: 540-886-5776 | |
Robyn Walden, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 Fax: 540-887-3245 | |
Candy Calloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-213-7566 |