Provider Demographics
NPI:1952650905
Name:MEIER, SHAUNA MARIE (LSCSW)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:MARIE
Last Name:MEIER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N ANDOVER RD UNIT 235
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-0057
Mailing Address - Country:US
Mailing Address - Phone:316-444-0064
Mailing Address - Fax:575-210-5468
Practice Address - Street 1:127 E PINE MEADOW CT
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-8845
Practice Address - Country:US
Practice Address - Phone:316-444-0064
Practice Address - Fax:575-210-5468
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty