Shianne Brent, LCSW
Individual provider Active NPI Clinical Social Worker · Fort Knox, KY
NPI 1659736742 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1659736742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 252683 (KY)
- Practice address
- 200 Brule St
Fort Knox, KY 40121-6100 - Phone
- (502) 626-9881
- Fax
- (502) 626-6140
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164828 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 252683 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164828 | KY | |
| Clinical Social Worker | 1041C0700X | 252683 | KY | Yes |
Addresses
Primary practice location
200 Brule St
Fort Knox, KY 40121-6100
Mailing address
200 Brule St
Fort Knox, KY 40121-6100
Phone (270) 900-0373
Other providers in Fort Knox, KY
- Francis H Boudreau
- Lucy Ann Bowen
- Steven Casto Bowen
- Steven Edward Braverman
- Alexander Karl Brenner
- Morgan Ann Brissette
- Sarah Hutchinson Brown
- Leann Elizabeth Bruce
- April Burch
- Ann Judith Burgardt
All providers in Fort Knox, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. 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.