Shannon Hanus, LSW
Individual provider Active NPI Clinical Social Worker · Delphos, OH
NPI 1134570070 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1134570070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S 1450668 (OH)
- Practice address
- 10100 Elida Rd
Delphos, OH 45833-9056 - Phone
- (419) 695-8010
- Fax
- (419) 695-0565
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 1450668 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S 1450668 | OH | Yes |
Addresses
Primary practice location
10100 Elida Rd
Delphos, OH 45833-9056
Mailing address
10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847496 | Medicaid | OH |
Other providers in Delphos, OH
- John E Grone
- Thresa Lynn Grothaus
- Jason D Hageman
- Carrie Morgan Hale
- Denise Hanlin
- Healing Hope Consulting LCC
- Rhonda Henderson-Laidlaw
- Cassandra Hermiller
- Brenda Hoersten
- Hometown Pediatrics, LLC
All providers in Delphos, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.