Michael N Shanley, LCSW, LISAC is a
Social Worker - Clinical based in Guadalupe, Arizona. Michael N Shanley is licensed to practice in Arizona (license number LCSW-10461) and his current practice location is
9405 S Avenida Del Yaqui, Guadalupe, Arizona. He can be reached at his office (for appointments etc.) via phone at
(480) 768-2026.
NPI number for Michael N Shanley is 1396887402 and his current mailing address is 9405 S Avenida Del Yaqui, Guadalupe, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396887402.
Healthcare Provider's Profile
| Full Name | Michael N Shanley |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 9405 S Avenida Del Yaqui, Guadalupe, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396887402
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael N Shanley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396887402 | NPI | - | NPPES |
| 854580 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10254 (Arizona) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW-10461 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael N Shanley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael N Shanley, LCSW, LISAC
9405 S Avenida Del Yaqui,
Guadalupe, AZ 85283-2529
Ph: (480) 768-2026 | Michael N Shanley, LCSW, LISAC
9405 S Avenida Del Yaqui,
Guadalupe, AZ 85283-2529
Ph: (480) 768-2026 |
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