Mary Anna Shorter-King, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09928829 Issued in CO

Practice address

1191 Canon Ridge Rd
Canon City, CO 81212-9163

Phone

(719) 276-2550

NPI assigned

Jun 2, 2015

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

Other names 1

• Mary Anna Shorter-Castaneda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Turquoise Trail Therapy LLC

  • Clinical Social Worker
  • Canon City, CO
  • NPI 1124725130
  NPD Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1487034708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CANON RIDGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129163",
            "telephone_number": "719-276-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CANON RIDGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129163",
            "telephone_number": "719-276-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTER-KING",
        "first_name": "MARY",
        "middle_name": "ANNA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SHORTER-CASTANEDA",
            "middle_name": "ANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William A Shelver, PHARMD
• Sheridan Childrens Healthcare Services of Colorado PC
• Sheridan Healthcare of Colorado, PC
• Jessica Shiflett, MS, NCE, LPC, LAC
• Deborah Eileen Shock, ANP-C
• Lois Jean Sillaman, M.S., L.P.C.
• Joan H Sindler, PA-C
• Marc A Sindler, MD
• Jodi Genene Sinker, RN
• Skyline Counseling and Consulting

• Clinical Social Worker in Canon City, CO
• Providers in Canon City, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.