Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON MANDLE KETTNER, PHD, LSCSW
ActiveDR. SHANNON MANDLE KETTNER, PHD, LSCSW is a Clinical Social Worker healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1609933449 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1609933449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.585589815555 yrs)
- Last Updated
- Nov 17, 2015
- License
-
1075 (KS)
Practice Information
- Address
-
3141 CENTENNIAL BLVDCOLORADO SPRINGS, CO, 809074094Browse CO providers · Browse ZIP 80907
- Phone
- 7193275660
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in COLORADO SPRINGS, CO
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN HAROLD JORGENSEN | LCSW | 1033104740 |
| MR. DAVID FRANKLIN SWAYNE JR. | LCSW | 1952396681 |
| CARLA STEPHANY | MSSW | 1922082023 |
| MS. SUSANNE FISCHER | LCSW | 1811975907 |
| MS. KIMBERLY SHURTLEFF HARTMAN | L.C.S.W. | 1669450771 |
| MR. ROBERT CHARLES WAGSTAFF | LCSW | 1326027616 |
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.