| Kaiya Shannon, LCSW | |
|
15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | |
| (239) 343-6050 | |
| (239) 343-6051 |
| Full Name | Kaiya Shannon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15901 Bass Rd Ste 108, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790917987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 9520 (Florida) | Primary |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiya Shannon, LCSW Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6050 | Kaiya Shannon, LCSW 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 Ph: (239) 343-6050 |
Gail Bialk, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12791 World Plaza Ln Bldg 89, Fort Myers, FL 33907 Phone: 239-829-5494 Fax: 239-645-4777 |
Christopher Santini, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1270 Cleburne Dr, Fort Myers, FL 33919 Phone: 646-388-3422 |
Adam Larivee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2506 Second St Ste 107, Fort Myers, FL 33901 Phone: 239-672-1827 |
Ms. Linda Ann Bluhm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6314 Corporate Ct Ste 120, Fort Myers, FL 33919 Phone: 239-690-5200 Fax: 239-690-5202 |
Trudy Farrier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13020 Lake Meadow Dr, Fort Myers, FL 33913 Phone: 239-360-2785 |
Charity Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3949 Evans Ave Ste 105, Fort Myers, FL 33901 Phone: 239-839-3907 |
Mrs. Erica N Kress, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966 Phone: 239-223-2751 Fax: 239-561-2933 |