Active NPI
Shawn Marie Dilts, LMSW
- Clinical Social Worker
- Owosso, MI
National Provider Identifier
1154315935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801068632
- Practice address
- 1555 Industrial Dr
Owosso, MI 48867-9775 - Phone
- (989) 723-6791
- Fax
- (989) 725-5061
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801068632 | MI | Primary |
Addresses
Primary practice location
1555 Industrial Dr
Owosso, MI 48867-9775
Mailing address
PO Box 428
Owosso, MI 48867
Phone (989) 723-6791
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G86087 | Other | MI | BCBS |
| 6222417 | Other | MI | UBH |
| 0995783 | Other | MI | HEALTHPLUS |
| SD068632 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1154315935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "OWOSSO",
"state": "MI",
"postal_code": "48867",
"telephone_number": "989-723-6791",
"fax_number": "989-725-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 INDUSTRIAL DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679775",
"telephone_number": "989-723-6791",
"fax_number": "989-725-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILTS",
"first_name": "SHAWN",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801068632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0G86087",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6222417",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "0995783",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "SD068632",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.