Shannon Hurst, LCSW | |
1720 Woodlawn Ave, Dyersburg, TN 38024-1300 | |
(731) 285-1393 | |
(731) 286-1423 |
Full Name | Shannon Hurst |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1720 Woodlawn Ave, Dyersburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265142327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8276 (Tennessee) | Primary |
Entity Name | Pathways Of Tennessee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497721609 PECOS PAC ID: 6507833613 Enrollment ID: O20040916000523 |
Mailing Address | Practice Location Address |
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Shannon Hurst, LCSW 257 Bancorp South Pkwy, Jackson, TN 38305-7582 Ph: (731) 660-8781 | Shannon Hurst, LCSW 1720 Woodlawn Ave, Dyersburg, TN 38024-1300 Ph: (731) 285-1393 |
Stephannie Raye Williams, CM Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2035 Saint John Ave, Dyersburg, TN 38024 Phone: 731-541-8344 Fax: 731-935-8327 | |
Sara Ellen Moody, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Vendall Rd, Dyersburg, TN 38024 Phone: 731-287-7289 | |
Kimberly Dawn Stanfield, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 433 E Parkview St, Dyersburg, TN 38024 Phone: 731-287-7289 Fax: 731-287-7385 | |
Alison Knack, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1954 Saint John Ave Ste 1, Dyersburg, TN 38024 Phone: 731-258-6110 | |
Harry Robert Gilley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2335 Federal Dr Apt C12, Dyersburg, TN 38024 Phone: 618-889-0002 | |
Frances Leemary Daniels-moses, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2493 Fairway Dr, Dyersburg, TN 38024 Phone: 731-445-2676 |