| Mrs Shawna Viskantas, | |
|
35425 W Michigan Ave, Wayne, MI 48184-9800 | |
| (248) 547-2668 | |
| Not Available |
| Full Name | Mrs Shawna Viskantas |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 35425 W Michigan Ave, Wayne, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205278173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087774 (Michigan) | Primary |
| Entity Name | County Of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040308000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shawna Viskantas, 35425 W Michigan Ave, Wayne, MI 48184-9800 Ph: (248) 547-2668 | Mrs Shawna Viskantas, 35425 W Michigan Ave, Wayne, MI 48184-9800 Ph: (248) 547-2668 |
Ms. Dasha Shchukina, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34841 Veterans Plaza, Wayne, MI 48184 Phone: 313-292-7640 | |
Brittney Bach, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 734-600-7873 | |
Ms. Joanne Nicholson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35425 W Michigan Ave, Wayne, MI 48184 Phone: 734-467-7600 Fax: 734-467-7600 | |
Tracy Wickland, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3001 4th St, Wayne, MI 48184 Phone: 734-419-2200 Fax: 734-272-4158 | |
Ms. Jasmine Close, LLMSW-CLINICAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Kehly Laurren Rashada, MSW, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3001 4th St, Wayne, MI 48184 Phone: 734-419-2200 |