Individual
MRS. MARY JUANITA SHAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 HERBERT STREET, DEMOPOLIS, AL 36732
(334) 341-7400
(601) 485-5215
Mailing address
P.O. BOX 1127, DEMOPOLIS, AL 36732
(334) 341-7400
(334) 287-2331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0113C
AL
1041C0700X
Clinical Social Worker
Primary
0113C
MS
1041C0700X
Clinical Social Worker
C7264
MS
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00408326
MEDICARE RAILROAD
MS
Enumeration date
11/11/2006
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us