Shawna Roen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19112 Issued in AZ

Practice address

3640 Highway 95 Ste 120
Bullhead City, AZ 86442-4336

Phone

(928) 900-4748

Fax

(928) 420-8950

NPI assigned

Sep 11, 2019

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindcheck Inc.

  • Clinical Social Worker
  • Bullhead City, AZ
  • NPI 1134908015
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1366092306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 E DESERT DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864268802",
            "telephone_number": "928-862-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGHWAY 95 STE 120",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424336",
            "telephone_number": "928-900-4748",
            "fax_number": "928-420-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEN",
        "first_name": "SHAWNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LCSW-19912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitrina Roberts Cooper
• Christopher Robertson
• Mark B Robertson, PHARM-D
• Kyler Scott Robinson, PHARMD
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Rey Plasabas Roferos, AGPCNP-BC
• Matthew James Rohler, PA
• Robert Louis Romano
• Jordan Roseberry, PHARMD
• Steven Lawrence Rosinski, MD, PHD

• Clinical Social Worker in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.