Shannon R Hurst, MSW | |
6404 Tantamount Ln, Dayton, OH 45449-3540 | |
(937) 776-7810 | |
Not Available |
Full Name | Shannon R Hurst |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6404 Tantamount Ln, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235158023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I 0600022 (Ohio) | Primary |
Entity Name | Access Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689763740 PECOS PAC ID: 4385899053 Enrollment ID: O20130612000051 |
Entity Name | Clearing Path's Therapeutic Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043511975 PECOS PAC ID: 1951603158 Enrollment ID: O20160105002014 |
Mailing Address | Practice Location Address |
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Shannon R Hurst, MSW 6404 Tantamount Ln, Dayton, OH 45449-3540 Ph: (937) 776-7810 | Shannon R Hurst, MSW 6404 Tantamount Ln, Dayton, OH 45449-3540 Ph: (937) 776-7810 |
Carrie Cook Latt, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046 | |
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944 | |
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 | |
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134 | |
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084 | |
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511 | |
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 |