Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOANNE M SHACKELFORD, MSW LCSW
Active Sole ProprietorLOANNE M SHACKELFORD, MSW LCSW is a Clinical Social Worker healthcare provider located in LA VETA, Colorado. NPI 1902847759 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LA VETA, CO
Registration Details
- NPI Number
- 1902847759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2006 (20.154252973528 yrs)
- Last Updated
- Nov 3, 2010
- License
-
991075 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 S. MAIN ST.LA VETA, CO, 810550148Browse CO providers · Browse ZIP 81055
- Phone
- 7197423372
- Fax
- 7197423373
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.