Shawna Michelle Landazuri, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018038598 Issued in MO

Practice address

636 W Republic Rd Ste F100
Springfield, MO 65807-5810

Phone

(417) 866-7773

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shawna Williams Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McGuire Christian Counseling Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1912141789
  Medicare reassignment
• Eagle Crest Counseling Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MO
  • NPI 1659421931
  NPD

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1770732356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE F100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075810",
            "telephone_number": "417-866-7773",
            "fax_number": "417-866-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE F100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075810",
            "telephone_number": "417-866-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAZURI",
        "first_name": "SHAWNA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018038598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mcguirechristiancounseling.com",
            "affiliation": "N",
            "endpointDescription": "Provider HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider HIPAA secure email information",
            "address_1": "636 W Republic Rd Ste F100",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658075810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Joanne Lamont, ATC
• Cally Rae Lampe
• Benjamin A Lampert, MD
• Alison McGee Lamphear, DDS
• Leslie Lancaster
• Arron Keith Landers, PLPC
• Chelsea Landgraf, PHARMD, BCPS
• Tyler Wright Landgraf, MSED, ATC
• Gregory A Landolt, CRNA
• Kara Landon, FNP

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.