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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHAQUITA SHANTA SHANNON

Deactivated

CHAQUITA SHANTA SHANNON is a Clinical Social Worker healthcare provider located in MEMPHIS, Tennessee. NPI 1417151648 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · MEMPHIS, TN

This NPI has been deactivated. The record was deactivated on August 20, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417151648
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2007 (14.18904109589 yrs)
Last Updated
Sep 14, 2021
Deactivated
Aug 20, 2021
Licenses
7626 (TN)
7626 (TN)

Practice Information

Address
1689 NONCONNAH BLVD STE 100
MEMPHIS, TN, 381322111
Browse TN providers · Browse ZIP 38132
Phone
9015238990
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MEMPHIS, TN

Name Credential NPI
MRS. JULIA B JOHNSON LCSW 1679574602
MS. SUSAN ERDMAN L.C.S.W. 1154310548
LINDA K RETTSTATT LCSW 1356318729
MS. CHENOBIA WEBSTER LCSW 1104880186
PATRICIA L SPLIT LCSW 1114984499
JODY G LONG LCSW 1548228307
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.