Broderick, Shannon
Broderick, Shannon is an individual health care provider with primary practice located at 529 Se 2Nd St Ste D , Lees Summit MO 64063-2654. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Broderick, Shannon can be contacted via phone (816) 581-3737.Contact Information
Primary practice address
529 Se 2Nd St Ste D
Lees Summit MO 64063-2654
Phone: (816) 581-3737
Fax: (816) 581-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10002 | Kansas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2016027520 | Missouri |
Profile Details
| NPI number | 1386096790 |
|---|---|
| LBN Legal business name | Broderick, Shannon |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2016 |
| Last updated | May 4th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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