Shannon Kelaita
Shannon Kelaita is a Clinical Social Worker in San Andreas, California. Qualified in 2012, 14 years ago. Practices with Mark Twain Health Care District, a 17-clinician group and accepts Medicare assignment.
- Years since qualifying
- 14
- In the registry since
- 2011
Practice location Address checks out
891 Mountain Ranch RdSan Andreas, CA 95249-9713
Phone: (209) 754-6525
Fax: (209) 754-6799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1720382864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2011 |
| Last updated in NPPES | January 4, 2011 |
| Mailing address | Po Box 128, Mokelumne Hill, CA 95245-0128 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Mark Twain Health Care District — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in San Andreas
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MS. Joan Dionne
891 Mountain Ranch Rd, San Andreas, CA 95249 · (209) 754-6525
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Mikey Habbestad
891 Mountain Ranch Rd, San Andreas, CA 95249-9713 · (209) 754-6525