Latasha Shannon, LMSW, CAADC is a medicare enrolled "Social Worker" provider in Plymouth, Michigan. Her current practice location is
447 Forest Ave Ste 1, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 635-3499.
Latasha Shannon is licensed to practice in Michigan (license number 6801089411) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669754271.
Healthcare Provider's Profile
| Full Name | Latasha Shannon |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 447 Forest Ave Ste 1, Plymouth, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Latasha Shannon attended and graduated from in
NPI Data:
- NPI Number: 1669754271
- Provider Enumeration Date: 09/09/2011
- Last Update Date: 03/31/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Latasha Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669754271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02511 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801089411 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801089411 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latasha Shannon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latasha Shannon, LMSW, CAADC
447 Forest Ave Ste 1,
Plymouth, MI 48170-1721
Ph: (734) 635-3499 | Latasha Shannon, LMSW, CAADC
447 Forest Ave Ste 1,
Plymouth, MI 48170-1721
Ph: (734) 635-3499 |
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