Shannon Marie Dewitt, CAP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY
NPI 1548837339 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1548837339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAP-187 (WY)
- Practice address
- 231 S Wilson St
Casper, WY 82601-2941 - Phone
- (307) 265-3791
- Fax
- (307) 265-4480
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S48Wy1, LLC | Current |
Accepting new patients | |
| Wyoming Recovery Rawlins | Current |
Accepting new patients |
Locations
231 S Wilson St
Casper, WY 82601
Phone (307) 265-3791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP-187 | WY | Yes |
Addresses
Primary practice location
231 S Wilson St
Casper, WY 82601-2941
Mailing address
231 S Wilson St
Casper, WY 82601-2941
Phone (307) 265-3791
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YP2500X | Medicaid | WY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Wyomingrecovery.com | Other |
Other providers in Casper, WY
- Kristi Depoorter
- Christian R Dequet
- Tracy Marie Deschampe Sage
- Bradlie Ariel Dewald
- Nichelle Dewald
- Diamond Anesthesia PC
- Diane C. Henshaw, M.D., P.C.
- Diane R Edwards
- Patricia F Diaz
- Rebecca Dawn Dickey
All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. 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.