| Shaina C Theis, LCSW | |
|
211 Ky 59, Vanceburg, KY 41179-7647 | |
| (606) 796-3029 | |
| Not Available |
| Full Name | Shaina C Theis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 211 Ky 59, Vanceburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649925017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 256482 (Kentucky) | Primary |
| Entity Name | Dragonfly Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225745011 PECOS PAC ID: 9436524584 Enrollment ID: O20230404000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaina C Theis, LCSW Po Box 550, Vanceburg, KY 41179-0550 Ph: (606) 796-3029 | Shaina C Theis, LCSW 211 Ky 59, Vanceburg, KY 41179-7647 Ph: (606) 796-3029 |
Whitney Freno, MSSW, LSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Central Elementary, Vanceburg, KY 41179 Phone: 606-796-6106 | |
Jusith M Austin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 2nd St, Vanceburg, KY 41179 Phone: 606-796-3021 Fax: 606-564-8288 | |
Karen Mckenzie, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 211 Ky Route 59, Vanceburg, KY 41179 Phone: 606-796-3029 |