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Contact Information

SHAWN C DENNIS, LCSW
275 MAIN ST
MAMMOTH SPRING, AR72554
 Phone: 417-259-2452
 Fax: 417-322-6099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SHAWN C DENNIS · (Male)

NPI Number 1689902256
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/19/2009
Last updated 11/28/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2428-C
  • AR Medicaid 178890795
  • AR Medicaid 227659719
  • AR Other 5R661 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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