Mr Shad Burnett St Paul, MSW, SUDP, LICSW is a
Social Worker - Clinical based in Wellpinit, Washington. Mr Shad Burnett St Paul is licensed to practice in Washington (license number LW61381427) and his current practice location is
6228 E. Old School Rd, Wellpinit, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 258-7502.
NPI number for Mr Shad Burnett St Paul is 1033503107 and his current mailing address is Po Box 540, 6228 E. Old School Rd, Wellpinit, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033503107.
Healthcare Provider's Profile
| Full Name | Mr Shad Burnett St Paul |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6228 E. Old School Rd, Wellpinit, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033503107
- Provider Enumeration Date: 03/26/2015
- Last Update Date: 04/06/2023
Medical Identifiers
Medical identifiers for Mr Shad Burnett St Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033503107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60472921 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61381427 (Washington) | 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. Mr Shad Burnett St Paul 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 |
|---|
Mr Shad Burnett St Paul, MSW, SUDP, LICSW
Po Box 540, 6228 E. Old School Rd,
Wellpinit, WA 99040
Ph: (509) 258-7502 | Mr Shad Burnett St Paul, MSW, SUDP, LICSW
6228 E. Old School Rd,
Wellpinit, WA 99040
Ph: (509) 258-7502 |
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