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

MR. DAVID W. SHANE, L.C.S.W. (ILLINOIS)

Active

MR. DAVID W. SHANE, L.C.S.W. (ILLINOIS) is a Clinical Social Worker healthcare provider located in SHENANDOAH, Iowa. NPI 1811130792 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SHENANDOAH, IA

Registration Details

NPI Number
1811130792
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2009 (17.346757724389 yrs)
Last Updated
Apr 8, 2009
License
149.002871 (IL)

Practice Information

Address
512 S FREMONT ST
ORCHARD CORNERS 150-160
SHENANDOAH, IA, 516011508
Browse IA providers · Browse ZIP 51601
Phone
7122460092
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SHENANDOAH, IA

Name Credential NPI
MRS. CAITLIN ALEXIS CROSBY CLEM LMSW 1639861677
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.