Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawnee Health Service and Development Corp

Organization Clinical Social Worker · NPI 1639295314

Shawnee Health Service and Development Corp is a Clinical Social Worker in Carterville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
13
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 California St
Carterville, IL 62918-0577
Phone: (618) 985-8221
Fax: (618) 985-6860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Clinical Social Worker Taxonomy 1041C0700X (IL)
Dentist Taxonomy 122300000X (IL)
Dental Hygienist Taxonomy 124Q00000X (IL)
Dental Assistant Taxonomy 126800000X (IL)
Registered Dietitian Taxonomy 133V00000X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (IL)
Pediatrics Physician Taxonomy 208000000X (IL)
Neurology Physician Taxonomy 2084N0400X (IL)
Community/Retail Pharmacy Taxonomy 3336C0003X (IL)

Record details

NPI number1639295314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Carney — Ceo · (618) 956-9521
NPI enumeratedMarch 22, 2007
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address109 California St, P O Box 577, Carterville, IL 62918-0577

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