William H Shampo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057938 Issued in MI

Practice address

427 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801-3458

Phone

(906) 774-3323

Fax

(906) 774-2556

NPI assigned

Jul 10, 2006

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)

Enrolled

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1659305308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S STEPHENSON AVE",
            "address_2": "STE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013458",
            "telephone_number": "906-774-3323",
            "fax_number": "906-774-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S STEPHENSON AVE",
            "address_2": "STE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013458",
            "telephone_number": "906-774-3323",
            "fax_number": "906-774-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMPO",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801057938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Scullon
• Christopher G Selden, DDS
• John F Selden, MD
• Clayton Shaker, M.D.
• Dale Roger Shampo, MD
• Michael John Sheehy, CRNA
• Kimberly A. Shilton, RN
• Shoptikal LLC
• David D Siegler, O.D.
• Amy Sielaff, FNP-C

• Clinical Social Worker in Iron Mountain, MI
• Providers in Iron Mountain, 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 Mar 23, 2009; 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.