| Shannon Cantillano Licensed Clinical Social Worker Inc | |
|
9700 El Camino Real Ste 200 Atascadero CA 93422-5579 | |
| (805) 460-7300 | |
| (805) 468-4290 |
| Full Name | Shannon Cantillano Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker |
| Location | 9700 El Camino Real Ste 200, Atascadero, California |
| Authorized Official Name and Position | Shannon Cantillano (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8054607300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Cantillano Licensed Clinical Social Worker Inc 7343 El Camino Real # 226 Atascadero CA 93422-4697 Ph: (805) 460-7300 | Shannon Cantillano Licensed Clinical Social Worker Inc 9700 El Camino Real Ste 200 Atascadero CA 93422-5579 Ph: (805) 460-7300 |
| NPI Number | 1205543535 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Medicare PECOS PAC ID | 0143692822 |
|---|---|
| Medicare Enrollment ID | O20230206001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205543535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon J Cantillano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780811364 PECOS PAC ID: 8729215470 Enrollment ID: I20131230000795 |
Family Care Network, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 San Benito Rd, Atascadero, CA 93422 Phone: 805-781-3535 | |
Allie Vierra Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 Los Gatos Rd, Atascadero, CA 93422 Phone: 820-208-4899 | |
County Of San Luis Obispo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3556 El Camino Real, Atascadero, CA 93422 Phone: 805-461-6080 | |
Masood Moghaddam Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5975 Entrada Ave, Atascadero, CA 93422 Phone: 805-703-3540 Fax: 805-466-9765 | |
County Of San Luis Obispo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 El Camino Real, Atascadero, CA 93422 Phone: 805-781-4700 | |
Aligned Psychology Group Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8193 San Dimas Rd, Atascadero, CA 93422 Phone: 760-576-5260 |