Shantaye Powell
Shantaye Powell is a Clinical Social Worker in Metropolis, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor.
- Years since qualifying
- 6
- In the registry since
- 2020
Practice location Address checks out
206 W 5th StMetropolis, IL 62960-1810
Phone: (618) 524-9368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1831725050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | March 19, 2020 |
| Certification date | March 19, 2020 |
| Mailing address | 206 W 5th St, Metropolis, IL 62960 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |