Shannan Marie Kooistra, LLBSW is a
Social Worker based in Stanton, Michigan. Shannan Marie Kooistra is licensed to practice in Michigan (license number 6852093394) and her current practice location is
611 N State St, Stanton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 831-7520.
NPI number for Shannan Marie Kooistra is 1780156919 and her current mailing address is 611 N State St, Stanton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780156919.
Healthcare Provider's Profile
| Full Name | Shannan Marie Kooistra |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 611 N State St, Stanton, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780156919
- Provider Enumeration Date: 12/28/2018
- Last Update Date: 01/30/2024
Medical Identifiers
Medical identifiers for Shannan Marie Kooistra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780156919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6852093394 (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. Shannan Marie Kooistra 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 |
Shannan Marie Kooistra, LLBSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7520 | Shannan Marie Kooistra, LLBSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7520 |
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