Mary Ann Shires, LCSW
Individual provider Active NPI Clinical Social Worker · Maxwelton, WV
NPI 1679747893 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1679747893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CP00080591 (WV)
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 497-0500
- NPI assigned
- Apr 18, 2008
- 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 |
|---|---|---|---|
| CP00080591 | WV | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CP00080591 | WV | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
1305 Webster Rd
Summersville, WV 26651-1125
Phone (304) 872-6503
Other providers in Maxwelton, WV
- Seneca Health Services, Inc.
- Seneca Health Services, Inc.
- Seneca Health Services, Inc.
- George Timothy Sheppard
- Marsha Dannielle Sheppard
- Vickie L Shuff
- Christina Sims
- Demmi Smallwood
- Melissa Dawn Smith
- Melissa Dawn Sparks
All providers in Maxwelton, WV · Clinical Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. 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.