Mrs Jeanetta Sheppard, LCSW is a
Social Worker - Clinical based in Fort Rucker, Alabama. Mrs Jeanetta Sheppard is licensed to practice in Alabama (license number 2027C) and her current practice location is
301 Andrews Avenue, United States Army Substance Abuse Program, Fort Rucker, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 255-7918.
NPI number for Mrs Jeanetta Sheppard is 1689649857 and her current mailing address is 301 Andrews Ave., Fort Rucker, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689649857.
Healthcare Provider's Profile
| Full Name | Mrs Jeanetta Sheppard |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 301 Andrews Avenue, Fort Rucker, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689649857
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 06/18/2012
Medical Identifiers
Medical identifiers for Mrs Jeanetta Sheppard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689649857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP867 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICADC6435 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW7254 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2027C (Alabama) | 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. Mrs Jeanetta Sheppard 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 |
|---|
Mrs Jeanetta Sheppard, LCSW
301 Andrews Ave.,
Fort Rucker, AL 36362-5105
Ph: (334) 255-7918 | Mrs Jeanetta Sheppard, LCSW
301 Andrews Avenue, United States Army Substance Abuse Program,
Fort Rucker, AL 36362-5105
Ph: (334) 255-7918 |
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