Mrs Shannon L Seyedan, LCSW, LISAC is a
Social Worker - Clinical based in Goodyear, Arizona. Mrs Shannon L Seyedan is licensed to practice in Arizona (license number LCSW-10573) and her current practice location is
2722 S 186th Dr, Goodyear, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 650-6242.
NPI number for Mrs Shannon L Seyedan is 1881727444 and her current mailing address is 2722 S 186th Dr, Goodyear, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881727444.
Healthcare Provider's Profile
Full Name | Mrs Shannon L Seyedan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2722 S 186th Dr, Goodyear, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881727444
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 08/30/2023
Medical Identifiers
Medical identifiers for Mrs Shannon L Seyedan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881727444 | NPI | - | NPPES |
761412 | Other | AZ | PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10312 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-10573 (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. Mrs Shannon L Seyedan 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 |
Mrs Shannon L Seyedan, LCSW, LISAC 2722 S 186th Dr, Goodyear, AZ 85338-4216 Ph: (480) 650-6242 | Mrs Shannon L Seyedan, LCSW, LISAC 2722 S 186th Dr, Goodyear, AZ 85338-4216 Ph: (480) 650-6242 |
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