Mr Michael Wayne Shaffer, LCSW is a
Social Worker - Clinical based in Marion, Indiana. Mr Michael Wayne Shaffer is licensed to practice in Illinois (license number ) and his current practice location is
1700 E 38th St, Marion, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 674-3321.
NPI number for Mr Michael Wayne Shaffer is 1619926615 and his current mailing address is 113 Walnut Dr, Gas City, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619926615.
Healthcare Provider's Profile
| Full Name | Mr Michael Wayne Shaffer |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1700 E 38th St, Marion, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619926615
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael Wayne Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619926615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20854 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | 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. Mr Michael Wayne Shaffer 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 |
|---|
Mr Michael Wayne Shaffer, LCSW
113 Walnut Dr,
Gas City, IN 46933-1138
Ph: (765) 674-3321 | Mr Michael Wayne Shaffer, LCSW
1700 E 38th St,
Marion, IN 46953-4568
Ph: (765) 674-3321 |
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