Shawn M Lanham, LCSW, LCADC | |
103 East South Street, Munfordville, KY 42765-9023 | |
(270) 696-3181 | |
Not Available |
Full Name | Shawn M Lanham |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 103 East South Street, Munfordville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598273062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 252927 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bluegrass Professional Counseling Llc | 3476815085 | 2 |
Entity Name | Bluegrass Professional Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063899789 PECOS PAC ID: 3476815085 Enrollment ID: O20180320000399 |
Mailing Address | Practice Location Address |
---|---|
Shawn M Lanham, LCSW, LCADC 301 Coldcreek Ct S, Elizabethtown, KY 42701-7042 Ph: (270) 735-3834 | Shawn M Lanham, LCSW, LCADC 103 East South Street, Munfordville, KY 42765-9023 Ph: (270) 696-3181 |
Destinie D Emmitt, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E South St, Munfordville, KY 42765 Phone: 270-696-3181 | |
Laura A Gaines, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 118 West Union St, Munfordville, KY 42765 Phone: 270-524-9883 Fax: 270-524-0437 | |
Brenda Faith Hayes, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 948 Main St, Munfordville, KY 42765 Phone: 270-524-0259 | |
Brianna Brown, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E South St, Munfordville, KY 42765 Phone: 270-696-3181 |