Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shauna M. Ezell, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1780600858

Dr. Shauna M. Ezell, PHD, LCSW is a Clinical Social Worker in Tyndall AFB, Florida. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

325TH Medical Group 340 Magnolia Cir Bldg 1465
Tyndall AFB, FL 32403-5604
Phone: (850) 283-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3097-57 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7400-123 (WI)

Record details

NPI number1780600858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

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