Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY JUANITA SHAKES, LCSW
Active Sole ProprietorMRS. MARY JUANITA SHAKES, LCSW is a Clinical Social Worker healthcare provider located in DEMOPOLIS, Alabama. NPI 1083785182 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DEMOPOLIS, AL
Registration Details
- NPI Number
- 1083785182
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2006 (19.754810648575 yrs)
- Last Updated
- Aug 24, 2011
- Licenses
-
0113C (AL)C7264 (MS)0113C (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 HERBERT STREETDEMOPOLIS, AL, 36732Browse AL providers · Browse ZIP 36732
- Phone
- 3343417400
- Fax
- 6014855215
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DEMOPOLIS, AL
| Name | Credential | NPI |
|---|---|---|
| JILL WHITAKER | LICSW | 1942165261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.