Shanice Marie Southern, LICENSED COUNSELOR is a
Case Manager/care Coordinator based in Columbus, Ohio. Shanice Marie Southern is licensed to practice in * (Not Available) (license number ) and her current practice location is
1301 N High St, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 299-6600.
NPI number for Shanice Marie Southern is 1447007554 and her current mailing address is 7842 Worthington Trace Ln, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447007554.
Healthcare Provider's Profile
| Full Name | Shanice Marie Southern |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1301 N High St, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447007554
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 08/18/2025
Medical Identifiers
Medical identifiers for Shanice Marie Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447007554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA-183601 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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 Marie Southern 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 Marie Southern, LICENSED COUNSELOR
7842 Worthington Trace Ln,
Columbus, OH 43085-5510
Ph: (614) 893-6270 | Shanice Marie Southern, LICENSED COUNSELOR
1301 N High St,
Columbus, OH 43201-2460
Ph: (614) 299-6600 |
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