Provider Demographics
NPI:1164725586
Name:LOEHRLEIN, SHANNON BETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:BETH
Last Name:LOEHRLEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:SHANNON
Other - Middle Name:BETH
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 READ ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1739
Mailing Address - Country:US
Mailing Address - Phone:812-450-6044
Mailing Address - Fax:812-450-3071
Practice Address - Street 1:515 READ ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1739
Practice Address - Country:US
Practice Address - Phone:812-450-6044
Practice Address - Fax:812-450-3071
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator