Shawn M Dickinson
Individual provider Active NPI Social Worker · Ottawa, KS
NPI 1912745720 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1912745720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 13765-T (KS)
- Practice address
- 2537 Eisenhower Rd
Ottawa, KS 66067-9482 - Phone
- (785) 242-3780
- Fax
- (785) 242-6397
- NPI assigned
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 13765-T | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | Current |
Accepting new patients | |
| Elizabeth Layton Center, Inc. | Current |
Accepting new patients |
Locations
2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13765-T | KS | Yes |
Addresses
Primary practice location
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Mailing address
PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. 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.