Shannon Halll, BS
Individual provider Active NPI Social Worker · Cov, KY
NPI 1770510810 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770510810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 19 E Pike St
Cov, KY 41011-2442 - Phone
- (859) 491-1348
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
19 E Pike St
Cov, KY 41011-2442
Mailing address
502 Farrell Dr
Cov, KY 41011-3717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184607 | Other | KY | MEDICARE GROUP NUMBER |
Other providers in Cov, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.