| Shannon Hurst, LCSW | |
|
1720 Woodlawn Ave, Dyersburg, TN 38024-1300 | |
| (731) 285-1393 | |
| (731) 286-1423 |
| Full Name | Shannon Hurst |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 1720 Woodlawn Ave, Dyersburg, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265142327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8276 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathways Of Tennessee Inc | 6507833613 | 40 |
| Entity Name | Pathways Of Tennessee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497721609 PECOS PAC ID: 6507833613 Enrollment ID: O20040916000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hurst, LCSW 257 Bancorp South Pkwy, Jackson, TN 38305-7582 Ph: (731) 660-8781 | Shannon Hurst, LCSW 1720 Woodlawn Ave, Dyersburg, TN 38024-1300 Ph: (731) 285-1393 |
Stephannie Raye Williams, CM Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2035 Saint John Ave, Dyersburg, TN 38024 Phone: 731-541-8344 Fax: 731-935-8327 | |
Kimberly Dawn Stanfield, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 433 E Parkview St, Dyersburg, TN 38024 Phone: 731-287-7289 Fax: 731-287-7385 | |
Alison Knack, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1954 Saint John Ave Ste 1, Dyersburg, TN 38024 Phone: 731-258-6110 | |
Harry Robert Gilley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2335 Federal Dr Apt C12, Dyersburg, TN 38024 Phone: 618-889-0002 | |
Frances Leemary Daniels-moses, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2493 Fairway Dr, Dyersburg, TN 38024 Phone: 731-445-2676 |