Shannon Woods, | |
3900 Balsawood Ln, Johnstown, CO 80534-2826 | |
(631) 513-9839 | |
Not Available |
Full Name | Shannon Woods |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3900 Balsawood Ln, Johnstown, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407382682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 094531 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09930385 (Colorado) | Primary |
Entity Name | Family Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
---|---|
Shannon Woods, 3900 Balsawood Ln, Johnstown, CO 80534-2826 Ph: (631) 513-9839 | Shannon Woods, 3900 Balsawood Ln, Johnstown, CO 80534-2826 Ph: (631) 513-9839 |
Michaella Arnett, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3483 Barkwood Dr, Johnstown, CO 80534 Phone: 720-263-2531 | |
Madeline Bates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Ronald Reagan Blvd Apt A302, Johnstown, CO 80534 Phone: 479-445-9221 | |
Kristyn Evelyn Farris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 278 Oriole Way, Johnstown, CO 80534 Phone: 720-205-9127 |