Provider Demographics
NPI:1518695576
Name:MCCAIN, SHANTEL (CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:SHANTEL
Middle Name:
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:SHANTEL
Other - Middle Name:
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 25TH CT NW APT C
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-2545
Mailing Address - Country:US
Mailing Address - Phone:334-507-5664
Mailing Address - Fax:
Practice Address - Street 1:908 20TH ST S RM 487
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2610
Practice Address - Country:US
Practice Address - Phone:205-567-7699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical