Provider Demographics
NPI:1336916014
Name:SLINKEY, SHANNON K (LMSW/LMSSW)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:K
Last Name:SLINKEY
Suffix:
Gender:F
Credentials:LMSW/LMSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2445
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87305-2445
Mailing Address - Country:US
Mailing Address - Phone:505-726-3068
Mailing Address - Fax:
Practice Address - Street 1:10 SANDY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ZUNI
Practice Address - State:NM
Practice Address - Zip Code:87327
Practice Address - Country:US
Practice Address - Phone:505-782-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2022-08531041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool