Shannon L Grantham, LCSW is a
Social Worker - Clinical based in Bastrop, Louisiana. Shannon L Grantham is licensed to practice in Louisiana (license number 002907292) and her current practice location is
323 W Walnut Ave, Bastrop, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 665-9950.
NPI number for Shannon L Grantham is 1568633048 and her current mailing address is 2235 New Natchitoches Rd, West Monroe, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568633048.
Healthcare Provider's Profile
Full Name | Shannon L Grantham |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 323 W Walnut Ave, Bastrop, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568633048
- Provider Enumeration Date: 03/12/2008
- Last Update Date: 09/14/2016
Medical Identifiers
Medical identifiers for Shannon L Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568633048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 5310 (Louisiana) | Secondary |
1041C0700X | Social Worker - Clinical | 002907292 (Louisiana) | 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. Shannon L Grantham 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 |
Shannon L Grantham, LCSW 2235 New Natchitoches Rd, West Monroe, LA 71292-2125 Ph: (318) 393-3464 | Shannon L Grantham, LCSW 323 W Walnut Ave, Bastrop, LA 71220-4521 Ph: (318) 665-9950 |
Reviews and Comments