Michael Shannon, MSW is a
Social Worker - Clinical based in Canoga Park, California. Michael Shannon is licensed to practice in California (license number ASW84215) and his current practice location is
6800 Owensmouth Ave Ste 160, Canoga Park, California. He can be reached at his office (for appointments etc.) via phone at
(213) 655-0382.
NPI number for Michael Shannon is 1689148355 and his current mailing address is 6800 Owensmouth Ave Ste 160, Canoga Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689148355.
Healthcare Provider's Profile
| Full Name | Michael Shannon |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6800 Owensmouth Ave Ste 160, Canoga Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689148355
- Provider Enumeration Date: 01/16/2019
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Michael Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689148355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW84215 (California) | 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 Shannon 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 Shannon, MSW
6800 Owensmouth Ave Ste 160,
Canoga Park, CA 91303-4255
Ph: (213) 655-0382 | Michael Shannon, MSW
6800 Owensmouth Ave Ste 160,
Canoga Park, CA 91303-4255
Ph: (213) 655-0382 |
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