| Shannon Barrows Lcsw Pllc | |
|
1612 Main St Unit 2 Pleasant Valley NY 12569-7047 | |
| (845) 366-9170 | |
| Not Available |
| Full Name | Shannon Barrows Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1612 Main St Unit 2, Pleasant Valley, New York |
| Authorized Official Name and Position | Shannon Barrows (OWNER/LCSW) |
| Authorized Official Contact | 8453669170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Barrows Lcsw Pllc 108 Deer Ridge Dr Staatsburg NY 12580-5755 Ph: (845) 366-9170 | Shannon Barrows Lcsw Pllc 1612 Main St Unit 2 Pleasant Valley NY 12569-7047 Ph: (845) 366-9170 |
| NPI Number | 1831880608 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 1658738513 |
|---|---|
| Medicare Enrollment ID | O20230607003252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831880608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Barrows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790406221 PECOS PAC ID: 2567829427 Enrollment ID: I20230623000856 |
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