Katie Mae Shook

Key facts

NPI

1780419960

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

789 N Clare Ave
Harrison, MI 48625-8250

Phone

(989) 539-2141

NPI assigned

Sep 5, 2024

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2024.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1780419960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258250",
            "telephone_number": "989-539-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258250",
            "telephone_number": "989-539-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "KATIE",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, MI

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• Jennifer Schlitzkus
• Taylor Schneider, PA-C
• Samantha Sherman, PTA
• Sydney Simon, RN
• Kathlyn Marie Steinman, MSW LMSW ACSW
• Stephen C McClintic, O.D. P.C
• Blanche Annette Stevens, LMSW
• Samantha Sturgeon, PA-C

All providers in Harrison, MI · Social Worker in Michigan