Shantaye Powell, is a
Social Worker - Clinical based in Metropolis, Illinois. Shantaye Powell is licensed to practice in * (Not Available) (license number ) and her current practice location is
206 W 5th St, Metropolis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 524-9368.
NPI number for Shantaye Powell is 1831725050 and her current mailing address is 206 W 5th St, Metropolis, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831725050.
Healthcare Provider's Profile
Full Name | Shantaye Powell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 206 W 5th St, Metropolis, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831725050
- Provider Enumeration Date: 03/19/2020
- Last Update Date: 03/19/2020
Medical Identifiers
Medical identifiers for Shantaye Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831725050 | NPI | - | NPPES |
371011136 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantaye Powell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shantaye Powell, 206 W 5th St, Metropolis, IL 62960 Ph: () - | Shantaye Powell, 206 W 5th St, Metropolis, IL 62960-1810 Ph: (618) 524-9368 |
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