Provider Demographics
NPI:1558030528
Name:BARNETT, SHANEE DENISE (MSW)
Entity Type:Individual
Prefix:
First Name:SHANEE
Middle Name:DENISE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SHANEE
Other - Middle Name:DENISE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:7575 BAYVIEW CLUB DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2394
Mailing Address - Country:US
Mailing Address - Phone:317-446-3007
Mailing Address - Fax:
Practice Address - Street 1:1515 N POST RD STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-4213
Practice Address - Country:US
Practice Address - Phone:317-282-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical