Michael Shannon Vaughn, LCSW, ADC III is a
Social Worker - Clinical based in San Antonio, Texas. Michael Shannon Vaughn is licensed to practice in Texas (license number 36728) and his current practice location is
6997 Crow Rd, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 792-4603.
NPI number for Michael Shannon Vaughn is 1396028668 and his current mailing address is 6997 Crow Rd, San Antonio, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396028668.
Healthcare Provider's Profile
| Full Name | Michael Shannon Vaughn |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6997 Crow Rd, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396028668
- Provider Enumeration Date: 09/23/2011
- Last Update Date: 06/20/2016
Medical Identifiers
Medical identifiers for Michael Shannon Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396028668 | NPI | - | NPPES |
| 15076-0899 | Other | TX | TCBAP |
| 36728 | Other | TX | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15076-0899 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 36728 (Texas) | 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 Vaughn 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 Vaughn, LCSW, ADC III
6997 Crow Rd,
San Antonio, TX 78263-6245
Ph: (210) 792-4603 | Michael Shannon Vaughn, LCSW, ADC III
6997 Crow Rd,
San Antonio, TX 78263-6245
Ph: (210) 792-4603 |
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