Shanice John, LMSW is a
Social Worker based in Pomona, New York. Shanice John is licensed to practice in New York (license number 103352) and her current practice location is
1 Marcia Ln, Pomona, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 641-0722.
NPI number for Shanice John is 1366794323 and her current mailing address is 1 Marcia Ln, Pomona, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366794323.
Healthcare Provider's Profile
| Full Name | Shanice John |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1 Marcia Ln, Pomona, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366794323
- Provider Enumeration Date: 10/15/2012
- Last Update Date: 04/04/2022
Medical Identifiers
Medical identifiers for Shanice John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366794323 | NPI | - | NPPES |
| 103352 | Other | NY | UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 27628 (New York) | Secondary |
| 104100000X | Social Worker | 103352 (New York) | 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. Shanice John is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanice John, LMSW
1 Marcia Ln,
Pomona, NY 10970-2635
Ph: (845) 641-0722 | Shanice John, LMSW
1 Marcia Ln,
Pomona, NY 10970
Ph: (845) 641-0722 |
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