Stephanie Ann Shields, LCSW | |
131 W Drexel Pkwy, Rensselaer, IN 47978-7344 | |
(219) 866-4194 | |
(219) 866-4197 |
Full Name | Stephanie Ann Shields |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 131 W Drexel Pkwy, Rensselaer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275250185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34009975A (Indiana) | Primary |
Entity Name | Valley Oaks Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
Mailing Address | Practice Location Address |
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Stephanie Ann Shields, LCSW 131 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: () - | Stephanie Ann Shields, LCSW 131 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: (219) 866-4194 |
Kimberly D Denton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 | |
Rachel L Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 | |
Dori L Grace, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 |