Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ANN CHURCH, LCSW
ActiveClinical Social Worker · GULFPORT, MS
Registration Details
- NPI Number
- 1164767778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2012 (13.402468235106 yrs)
- Last Updated
- Dec 7, 2012
- Licenses
-
C2562 (MS)2999 (LA)
Practice Information
- Address
-
1340 BROAD AVESTE 410GULFPORT, MS, 395012404Browse MS providers · Browse ZIP 39501
- Phone
- 2288675202
- Fax
- 2288675007
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. JOCELYN GAVIN-LANE | LCSW | 1033158936 |
| MS. KIMILA R. DEFLANDERS | LCSW | 1194767889 |
| MR. JASON KYLE MADIGAN | LCSW | 1376587915 |
| MRS. JEANNINE MICHELLE FINLEY | B.S | 1982620258 |
| JOAN S WALDROUP | LCSW | 1457365447 |
| MS. SANDRA CHERYL HALL | LCSW | 1528072048 |
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.