Shaun Vining

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115413 Issued in MI

Practice address

175 College St
Battle Creek, MI 49037-3432

Phone

(269) 966-1460

Fax

(269) 966-2844

NPI assigned

Oct 11, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1447912050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373432",
            "telephone_number": "269-966-1460",
            "fax_number": "269-966-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373432",
            "telephone_number": "269-966-1460",
            "fax_number": "269-966-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "SHAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Services, PC
• Vision Therapy Center
• Giuseppa Vitale, D.D.S.

• Clinical Social Worker in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.