Nottingham, Shannon Ryan

Nottingham, Shannon Ryan is an sole proprietor health care provider with primary practice located at 609 W Main St , Clarkson KY 42726-7044. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nottingham, Shannon Ryan can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
609 W Main St Clarkson KY 42726-7044
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 255867 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X 7628 Kentucky

Profile Details

NPI number 1417090168
LBN Legal business name Nottingham, Shannon Ryan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 28th, 2021 - about 2 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417090168 NPPES
Kentucky MEDICAID 30605018

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