| Shannon Ryan Nottingham, LCSW | |
|
1118 S Main St Ste 2, Morgantown, KY 42261-9409 | |
| (270) 288-5036 | |
| (270) 288-5082 |
| Full Name | Shannon Ryan Nottingham |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1118 S Main St Ste 2, Morgantown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417090168 | NPI | - | NPPES |
| 30605018 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 255867 (Kentucky) | Primary |
| Entity Name | Brightview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20210202002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Ryan Nottingham, LCSW 1118 S Main St Ste 2, Morgantown, KY 42261-9409 Ph: (270) 288-5036 | Shannon Ryan Nottingham, LCSW 1118 S Main St Ste 2, Morgantown, KY 42261-9409 Ph: (270) 288-5036 |
Melissa Graehler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 W Ohio St, Morgantown, KY 42261 Phone: 270-526-2228 Fax: 270-526-2218 | |
Cheryl Hudson, ADULT CASE MANAGER Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 211 E G L Smith St, Morgantown, KY 42261 Phone: 270-526-3877 Fax: 270-526-2929 | |
Mr. John Mark Jennings, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 W Ohio St, Morgantown, KY 42261 Phone: 270-526-2228 Fax: 270-526-2218 | |
Heidi Mccormack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 263 Huntsville Quality Rd Ste A, Morgantown, KY 42261 Phone: 270-934-2024 | |
Bret Nicholas Parks, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1118 S Main St, Morgantown, KY 42261 Phone: 270-288-5036 Fax: 270-288-5082 | |
Cindy M Slimak, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 W. Ohio St., Morgantown, KY 42261 Phone: 270-526-2228 Fax: 270-526-2218 |